Self-disclosure by victims of child sexual abuse (CSA) is critical to initiate legal and therapeutic intervention. Unfortunately, research indicates that lengthy delays in disclosure and even nondisclosure are common. A comprehensive review of the clinical and research literature on CSA and an overview of related bodies of literature was conducted. Areas addressed include the context of sexual abuse as it relates to disclosure, the context and elements of children's disclosures, motivational factors inhibiting disclosure, and models of the disclosure process. Ancillary and analogue research on secrecy and disclosure are also reviewed. Implications for future research and practice are discussed.

The present study examined pre- to posttreatment changes on several outcome variables following a group treatment for sexually abused adolescent females living in a group home setting. The treatment, called SAY Group, is a 20-week, closed-enrollment group that employs a cognitive-behavioral, PTSD-informed approach. Pre- and posttest assessments were completed by 43 SAY Group participants and by their group-home caregivers. Significant improvements were found on adolescent self-report measures of internalizing and externalizing problems, PTSD symptoms, and self-worth. No significant improvement was noted for depression. Caregivers reported significant improvement on internalizing behavior problems and PTSD symptoms, but not on externalizing problems. Preliminary findings indicate that SAY Group is effective in reducing symptoms commonly associated with sexual abuse.