This study examined how the police conceptualize juveniles involved in prostitution as victims of child sexual exploitation (CSE) or delinquents. Case files from six police agencies in major U.S. cities of 126 youth allegedly involved in prostitution, who were almost entirely girls, provided the data for this inquiry. This study found that 60% of youth in this sample were conceptualized as victims by the police and 40% as offenders. Logistic regression predicted the youths' culpability status as victims. The full model predicted 91% of youth's culpability status correctly and explained 67% of the variance in the youths' culpability status. The police considered youth with greater levels of cooperation, greater presence of identified exploiters, no prior record, and that came to their attention through a report more often as victims. In addition, the police may consider local youth more often as victims. It appears that the police use criminal charges as a paternalistic protective response to detain some of the youth treated as offenders, even though they considered these youth victims. Legislatively mandating this form of CSE as child abuse or adopting a ''secure care'' approach is needed to ensure these youth receive the necessary treatment and services.

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Substantiated cases of child maltreatment have declined more than 20% since a peak in 1993. However, although sexual abuse and physical abuse showed significant declines during the 1990s (47% and 36%, respectively), neglect fluctuated, with only a small overall decline during this period (7%). Available data suggest that at least part of the declines in sexual and physical abuse is likely to be real. Some evidence also suggests that a decline in neglect may have been masked in some states. Possible sources for declines in child maltreatment include direct prevention efforts, economic improvements, more aggressive criminal justice efforts, dissemination of psychiatric medication, and generational changes. Public health models suggest that population-level prevention initiatives are the most promising options for further reducing maltreatment rates. However, better epidemiological and evaluation research will be needed to identify the key factors.

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