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Presenting real-life case studies of child sexual abuse in the Caribbean as a basis for discussing interventions and models of practice that are relevant for a wide range of cultural and social settings, this multi-disciplinary text will be of interest to scholars, professionals and practitioners alike. Contributors to this volume demonstrate how sexual abuse is never just a problem of the individual: structures of inequality and the intersection of the factors they give rise to help to explain why some children are more at risk of abuse than others. Furthermore, the sub-systems in which lives are lived can compound risk and vulnerability or alternatively, can be sources of support and change. This book draws on these ideas to discuss practice across a range of service users: children, adolescent girls, teenage mothers, children with learning disabilities, fathers, mothers, women who abuse, juvenile sex offenders and children in residential care.