Commercial sexual exploitation of children has emerged as a critical issue within child welfare, but little is currently known about this population or effective treatment approaches to address their unique needs. Children in foster care and runaways are reported to be vulnerable to exploitation because they frequently have unmet needs for family relationships, and they have had inadequate supervision and histories of trauma of which traffickers take advantage. The current article presents data on the demographic characteristics, trauma history, mental and behavioral health needs, physical health needs, and strengths collected on a sample of 87 commercially sexually exploited youth. These youth were served in a specialized treatment program in Miami-Dade County, Florida, for exploited youth involved with the child welfare system. Findings revealed that the youth in this study have high rates of previous sexual abuse (86% of the youth) and other traumatic experiences prior to their exploitation. Youth also exhibited considerable mental and behavioral health needs. Given that few programs emphasize the unique needs of children who have been sexually exploited, recommendations are offered for providing a continuum of specialized housing and treatment services to meet the needs of sexually exploited youth, based on the authors' experiences working with this population.

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This article compares and contrasts the services needed by families in child welfare systems with the services that families receive. A mixed-methods approach was used to triangulate data from a variety of sources, including administrative databases, case file reviews, and focus groups with child welfare caseworkers and clients. Through this analysis, four overarching themes are explored: (a) perceptions of system-involved families' needs, (b) engagement of families in service planning, (c) availability and accessibility of services, and (d) the quality and appropriateness of services provided to families. Findings suggest that considerable gaps and barriers exist that prevent systeminvolved families from receiving the services they need. The manuscript concludes with research and practice recommendations about meeting the service needs of families in child welfare systems.

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