Construction of the instrument was based on clinical literature and practice, and a group of experienced child sexual abuse treatment providers generated an initial 136-item pool. These items were further rated, resulting in a 63-item instrument referred to as the Child Report of Treatment Issue Resolution (CRTIR). The CRTIR was pilot tested using a sample of 103 girls between 10 and 17 years of age who had been targets of intrafamilial child sexual abuse. Child and adolescent participants completed the CRTIR, as well as the Trauma Symptom Checklist for Children and the Children's Social Desirability Questionnaire. Research participant caretakers completed the Achenbach Child Behavior Checklist and a background questionnaire. Reliability of the CRTIR was found to be 0.94. Content validity was quantified through a process of expert ratings of individual item relevance. Criterion and construct validity were supported by a substantial correlation between the CRTIR and the Trauma Symptom Checklist for Children and by a moderate correlation between the CRTIR and the Child Behavior Checklist for Children. Correlation between the CRTIR and the Children's Social Desirability Questionnaire did not provide evidence of discriminate validity. Implications of using the CRTIR in child sexual abuse treatment settings are discussed. 26 references and 4 tables