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For children and young people living in residential care, recent Victorian and national inquiries have found that harmful sexual behaviour carried out by children and young people, and child sexual exploitation perpetrated by adults, are significant problems. Efforts to address harmful sexual behaviour and child sexual exploitation in Victoria include the establishment of sexually abusive behaviour treatment services and the Sexual Exploitation Protocol. Applying the public health model of prevention, these programs of work are tertiary prevention interventions that respond after the abuse has occurred. A gap exists in secondary prevention efforts for children and young people living in residential care that target this vulnerable group and intervene early when warning signs emerge. This paper describes a secondary prevention program, Respecting Sexual Safety, that may provide an early intervention response to harmful sexual behaviour and child sexual exploitation for children and young people living in residential care. The program has been designed, and is being trialled and evaluated, through an action research collaboration. IMPLICATIONSMulti-agency collaboration to intervene earlier to address harmful sexual behaviour and child sexual exploitation for children and young people living in residential care requires strengthening.Residential carers require upskilling and support to respond to children and young people going missing from the home to keep them at home.Residential carers require upskilling and support to identify problematic sexual behaviour and ensure appropriate intervention. Multi-agency collaboration to intervene earlier to address harmful sexual behaviour and child sexual exploitation for children and young people living in residential care requires strengthening. Residential carers require upskilling and support to respond to children and young people going missing from the home to keep them at home. Residential carers require upskilling and support to identify problematic sexual behaviour and ensure appropriate intervention.

Respecting Sexual Safety: A Program to Prevent Sexual Exploitation and Harmful Sexual Behaviour in Out-of-Home Care