Identifying and understanding factors that promote or inhibit child sexual abuse (CSA) disclosures has the potential to facilitate earlier disclosures, assist survivors to receive services without delay, and prevent further sexual victimization. Timely access to therapeutic services can mitigate risk to the mental health of survivors of all ages. This review of the research focuses on CSA disclosures with children, youth, and adults across the life course. Using Kiteley and Stogdon's literature review framework, 33 studies since 2000 were identified and analyzed to extrapolate the most convincing findings to be considered for practice and future research. The centering question asked: What is the state of CSA disclosure research and what can be learned to apply to practice and future research? Using Braun and Clarke's guidelines for thematic analysis, five themes emerged: (1) Disclosure is an iterative, interactive process rather than a discrete event best done within a relational context; (2) contemporary disclosure models reflect a social-ecological, person-in-environment orientation for understanding the complex interplay of individual, familial, contextual, and cultural factors involved in CSA disclosure; (3) age and gender significantly influence disclosure; (4) there is a lack of a life-course perspective; and (5) barriers to disclosure continue to outweigh facilitators. Although solid strides have been made in understanding CSA disclosures, the current state of knowledge does not fully capture a cohesive picture of disclosure processes and pathways over the life course. More research is needed on environmental, contextual, and cultural factors. Barriers continue to be identified more frequently than facilitators, although dialogical forums are emerging as important facilitators of CSA disclosure. Implications for practice in facilitating CSA disclosures are discussed with recommendations for future research.

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Being deeply understood relies on the ability of the social work clinician to have authentic and genuine empathy for their client. This phenomenological study sought to understand the lived experience of men sexually abused as boys in their childhood, and what life is like for them as sexual abuse survivors in adulthood. Analyses of fourteen male survivors' narratives into the abuse they experienced as children, and the meaning they make of that experience today, offer insights for therapists. Findings suggest that therapists have a responsibility to ask male clients about sexual victimization, even when this is not the presenting problem but they exhibit sexual abuse related problems; an obligation to educate one's self on responding therapeutically to disclosure; a duty to receive training to counsel sexually victimized males; a responsibility to advocate for the development of men's services; and taking an active role in shifting attitudes towards men's vulnerabilities.

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Wide recognition that families in the child welfare system experience multiple stressors has resulted in the development of a range of prevention and intervention strategies at individual, family, and policy levels.1 This article reports on a research study with minority immigrant families. The aim was to understand stressors they perceived as contributing to child welfare interventions, and services they found helpful or unhelpful. Using the conservation of resource (COR) theory, the findings highlight the erosion of resources that increases their vulnerability. Themes that emerged were: loneliness, betrayal, hopelessness, and financial and language struggles. Application of the COR theory combined with contextual insights from participant perspectives can guide policy and practice to focus on resource gain and prevent resource attrition.