The crime of child sexual abuse is sadly a familiar one to the American public. However, one category of child sexual abuse has largely escaped the public’s attention: child-on-child harmful sexual behavior.

There is a growing concern among parents, educators, and child safety experts regarding children who sexually abuse other children. Typically, such scenarios include a youth who uses their age, physical strength, or positions of status or authority, to engage other youth in sexual activity. Child-on-child sexual abuse also includes a wide range of other harmful sexual behaviors such as peeping, exhibitionism, exposure to pornography, sexual harassment (including cyber-based), fondling, etc., and may occur between young children.

This issue is extremely complex. There is a victim whose life has often been deeply impacted by the abuse and he or she deserves justice. Parents and loved ones experience great sorrow for the victim, and that is compounded when they are parents to the victim and to the abuser. On top of that, the abuse often triggers their own trauma from past sexual abuse they may have experienced. Our judicial and mental health systems tend to treat youth with illegal or problematic sexual behaviors (PSB) as adults. In a number of states, youth who act out on other youth are placed on the sex offender registry for the entirety of their lives with no chance to be removed — some are just eight years old. There are many social stigmas and misunderstandings that treat youth with PSB as “monsters” who are destined to act out again. These issues and more make it difficult to report these cases of abuse and to get help for all involved.

The National Center on Sexual Exploitation is shining a light on these complex problems and is insisting that policymakers, medical professionals, educators, and more come together to not only provide help and healing for the victim but to also provide help and healing for the youth who offends.

There are many reasons to include services for children with harmful or problematic sexual behaviors such as:

  • Some of these children were victims of sexual abuse, other abuse or neglect, prior to developing PSB themselves.
  • Others, who don’t have a history of child sexual abuse or other abuse, are still children whose problematic behaviors need attention so they don’t harm others or further harm themselves.
  • Some families are dealing with having both the child harmed or victimized, and the child who did the harm or victimizing. The balancing of needs to support and help both children present major challenges.
  • Programs that provide services for children and youth who are victimized are increasingly getting requests for information on services for children/youth with PSB.
  • All children or youth with harmful sexual behaviors do not go on to sexually offend, but targeting problematic behaviors BEFORE they reach criminal levels is key to preventing perpetration.



To help equip parents, educators, school administrators, and policymakers to address the challenges, the National Center on Sexual Exploitation hosted a national Symposium on March 20-21, 2019 in collaboration with the National Catholic School of Social Service at The Catholic University of America and Protect Young Minds. CEUs were provided for licensed social workers are available from the Maryland Network Against Domestic Violence (MNADV).

The symposium, titled “Out of the Shadows: Confronting the Rise of Child-On-Child Harmful Sexual Behavior”, was attended by over 350 people in-person, as well as hundreds more via a live stream, ranging from social workers, educators, government officials, law enforcement, psychologists, and other child safety experts.

Symposium Agenda

Copy of Summary of Research reviewed by NCOSE by topic –download here

Download copies of event and speaker handouts here.


A written summary of each plenary presentation can be found here.

Gail Dines, Ph.D.

President, Culture Reframed

Professor, Wheelock College

Hacked: How porn Undermines Children's Social, Emotional and Cognitive Development

Melissa D. Grady, PhD, MSW, LICSW

Associate Professor

National Catholic School of Social Service

1. What is the link? Early childhood experiences and their links with sexual offending. 2. Adolescents on the sexual offender registry: Its impact on individuals, families, and society.

Teresa Huizar

Executive Director

National Children's Alliance

Why We are Failing 1 in 4 Child Victims and How We Can Fix It

Robin Reber

Admissions Director

Star Guides

Waking up in a Nightmare – Broken trust, forensic investigations, legal charges, anger, fear, shame, isolation … A parent’s desperate search for child/teen trauma informed treatment options.

Mary Anne Layden, Ph D

Director, Sexual Trauma and Psychopathology Program Center for Cognitive Therapy, Department of Psychiatry

University of Pennsylvania

Hurt children who hurt children: Children who are sexual victims, children who are sexual perpetrators and children who are both

Heidi Olson, RN, BSN, CPN, SANE-P

Sexual Assault Nurse Examiner Program Coordinator

Children’s Mercy Hospital

Kids These Days: Pornography, Kids, and the Devastating Reality of Sexual Assault among Children

Dawn Hawkins

Sr. Vice President

National Center on Sexual Exploitation

Event Host

Lisa L. Thompson

Vice President of Policy & Research

National Center on Sexual Exploitation

When Worlds Collide: Youth, Social Media, & XXX

Paul Stern

Retired Prosecutor

Snohomish County, Washington

An Empirically-based Approach for Prosecuting Juvenile Sex Crimes

Mary Leary


The Catholic University of America School of Law

Sexting or Self-Produced Child Pornography? The Dialogue Continues – Structured Prosecutorial Discretion within a Multidisciplinary Response

Cordelia Anderson


Sensibilities, Inc.

PLENARY: Restorative Justice: A Transformative Approach to Address Sexual Harm with Children BREAKOUT WORKSHOP: Restorative Justice & Circles to Address Sexual Harm with Children

Jane Silovsky, PhD

Professor of Pediatrics, University of Oklahoma Health Sciences Center

Director, National Center on the Sexual Behavior of Youth

Children with Problematic Sexual Behaviors: Who are they and how can we help? & Policies and Practice to Improve Community Responses to Problematic Sexual Behavior of Youth

Daniel M. Sanderson, PhD, CSAT

Clinical Director & Founder

Star Guides

PLENARY: The Fractured Family & BREAKOUT WORKSHOP: The Developmental Vacation® - Understanding treatment of Compulsive Sexual Behaviors from a Developmental Perspective

Kristen A. Jenson

Founder, Protect Young Minds

Author, Good Pictures Bad Pictures

PLENARY: Shining the Light on Child on Child Sexual Behavior: All Children Deserve Our Protection; WORKSHOP: The 4 Pillars of Prevention: A Comprehensive Approach to Protecting Children from Pornography



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RECAP: Symposium Confronting the Rise of Child-on-Child Harmful Sexual Behavior

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Summary of Research for Child-on-Child Harmful Sexual Behavior

There is growing concern among parents, educators, and child safety experts regarding children[1] who exhibit or who engage in harmful sexual behavior (HSB) against other children. In part, this concern arises from the significant number of incidents of child-on-child HSB known to authorities. For instance, data regarding sexual offenses reported by U.S. police showed that…

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Find Help

DISCLAIMER: These resources are listed for convenience and reference. NCOSE has tried to review each of these, but their listing here does not mean NCOSE has endorsed or partners with them.

National Center for the Sexual Behavior of Youth

The National Center on the Sexual Behavior of Youth (NCSBY) is a part of the Center on Child Abuse and Neglect (CCAN) in the Department of Pediatrics of the University of Oklahoma Health Sciences.

The mission of NCSBY is to promote better lives, through better choices by youth, caregivers, and professionals for healthier responses to and prevention of problematic sexual behavior of youth. NCSBY provides national training and technical assistance to improve the accuracy, accessibility, and strategic use of accurate information about the nature, incidence, prevalence, prevention, treatment, and management of youth with problematic sexual behavior.

NCSBY is also designed to disseminate the efforts of the OJJDP and the Office of Sex Offender Sentencing, Monitoring, Apprehending, Registering and Tracking (SMART)’s Youth with Sexual Behavior Problems Program. This program targets late childhood and early adolescence for implementing evidence-based, coordinated, comprehensive management and intervention strategies to address problematic sexual behavior of youth, the effects on child victims, and their families.


The Association for the Treatment of Sexual Abusers (ATSA)

The Association for the Treatment of Sexual Abusers is an international, multi-disciplinary organization dedicated to making society safer by preventing sexual abuse. ATSA promotes sound research, effective evidence-based practice, informed public policy, and collaborative community strategies that lead to the effective assessment, treatment, and management of individuals who have sexually abused or are at risk to abuse.

They offer a clearinghouse referral list for those looking for help for their children, youth and adults. Inquires can include for a specific language, special needs, geographic location. They can also refer to experts informed about local reporting law requirements if callers are concerned about a behavior and related reporting legalities.

Quick links to specific some of the relevant places on their website:

Multisystemic Treatment Services

Therapists work in the home, school and community and are on call 24/7 to provide caregivers with the tools they need to transform the lives of troubled youth. Research demonstrates that MST reduces criminal activity and other undesirable behavior. At the close of treatment, 87% of youth have no arrests.

Problematic Sexual Behavior – Cognitive Behavioral Therapy for School-aged Children

PSB-CBT-S is a family-oriented, cognitive-behavioral, psychoeducational, and supportive treatment group designed to reduce or eliminate incidents of problematic sexual behavior. This program involves the family or other support systems in the child’s treatment and requires weekly caregiver attendance and active participation, monitoring and supporting the child’s application of skills between sessions, and ongoing assessment of child progress in treatment.

Check with the Center on Child Abuse and Neglect (CCAN) in the Department of Pediatrics of the University of Oklahoma Health Sciences for help finding trained professionals.


Private In-patient Treatment Facilities

Star Guides is absolutely unique among therapeutic programs for teens because of its specific focus on diagnostic assessment and treatment of teen sexual and relational behavior issues offering counseling and therapy options for both males and females. Ages 13-22.

CAPSTONE TREATMENT CENTER is a Christ-centered, residential, behavioral-care program. We help families with sons ages 14-25 who struggle with a wide range of self-destructive behaviors; alcohol / drug abuse, problematic sexual behaviors including pornography; trauma and its symptoms – self harm, isolation, depression, anxiety; compulsive video gaming; and family issues that inhibit peace, harmony and quality relationships.

Neari Press & Training Center

NEARI Press & Training Center provides resources and training for the prevention of sexual violence. We are a source of practical, cutting-edge information for professionals and the public about promising and best-practice interventions for individuals with sexual behavior problems. We believe that by addressing healthy sexual development in children and adolescents, and responding to sexual behavior problems in children, adolescents, and adults, we can prevent sexual abuse before it is perpetrated.


Child Advocacy Centers – The National Children’s Alliance

National Children’s Alliance (NCA) is the national association and accrediting body for Children’s Advocacy Centers (CACs). A Children’s Advocacy Center is a child-friendly facility in which law enforcement, child protection, prosecution, mental health, medical and victim advocacy professionals work together to investigate abuse, help children heal from abuse, and hold offenders accountable.

CACs will definitely be able to help a victim of child sexual abuse and many are developing programs to help serve a youth with problematic or illegal sexual behavior. The NCA has made this a priority and many of the CACs around the country are developing programs.

Direct link to their webpage on PSB


Juveniles Who Commit Sex Offenses against Minors 

Bulletin published by the U.S. Department of Justice’s Office of Juvenile Justice and Delinquency Prevention (OJJDP).

This Bulletin draws on data from the Federal Bureau of Investigation’s National Incident-Based Reporting
System to provide population-based epidemiological information on juvenile sex offending.

It is OJJDP’s hope that the findings reported in this Bulletin and their implications will help inform the policy and practice of those committed to addressing the sexual victimization of youth and strengthening its prevention and deterrence—considerations that are critical to success. Their efforts to protect youth from victimization, or from becoming victimizers themselves, have our support and commendation.


The National Child Traumatic Stress Network

The National Child Traumatic Stress Network (NCTSN) was created to raise the standard of care and increase access to services for children and families who experience or witness traumatic events.


The Center for Sex Offender Management (CSOM)

The Center for Sex Offender Management (CSOM) is a national clearinghouse and technical assistance center that supports the public and state and local jurisdictions in the effective management of sex offenders who are adults and juveniles.


The National Juvenile Justice Network (NJJN)

The National Juvenile Justice Network (NJJN) leads a movement of state-based juvenile justice reform organizations and alumni of its Youth Justice Leadership Institute to fight for a fairer youth justice system that’s appropriate for youth and their families. NJJN advocates for policies and practices that treat youth in trouble with the law with dignity and humanity and which strengthen them, their families and their communities.

Other examples of experts/resources:

  • Su Robinson, LICSW, VT (Girls with Problematic Sexual Behaviors) – Su Robinson does not have a website. Her contact information is: surobin@hotmail.com 802-489-5826 x 17, New England Counseling & Trauma Associates, LLC, 5399 Williston Road, Suite 207, Williston, VT 05495. Robinson is a resource for those who work with girls with problematic sexual behaviors. Her work began in the 90’s in Colorado, but has been in Vermont since 2006. She authored the first workbook designed for adolescent females with sexually abusive behavior. Once Robinson moved to Vermont, she noticed how completely difference criminal justice and support services appeared to be in the two states. Robinson does assessments, psycho-sexual evaluations and individual treatment with girls/women. Like many therapists who work with these issues she started by doing groups and applying models that were designed for males. She learned the need to have female specific work and to provide treatment that is both trauma-informed and offense-specific.


  • Kevin Creedon, Whitney Academy In his training, “Can we teach these kids to dance? A developmental approach to youth with sexual behavior problems,” Creedon explores a wide range of topic areas including: the role of attachment, child development, neuro impact of trauma.


  • David Prescott; Trainings on best practices for treating adolescents who’ve offended


  • Tom Leversee, Colorado 40 years of working with youth and their families involved in juvenile justice system; also on the Colorado Sex Offender Management Board


  • Toni Cavanaugh Johnson known for her work on expected sexual development in children and clarification of what is problematic versus expected behaviors in childhood


  • Timothy Kahn, Connecticut – for children and young adolescents Pathways model; wrote “Pathways: A Guided Workbook for Youth Beginning Treatment”.



While may be tempting to think of treatment for youth who commit offenses as totally separate from treatment for those victimized, some families have both those who did the harm and those harmed. Imagine the added challenges for parents and caregivers when attempting to understand and to meet the needs of both.

  • ATSA (Association for Treatment of Sexual Abusers) treatment of people who are at risk to sexually offend as well as those who have sexually offended. Juvenile program includes work with children who display sexual behavior problems and adolescents who have engaged in sexually abusive behavior, or other sexual behavior problems.


  • Florida Action Committee Reforming Sex Offender laws– The purpose is to educate the media, our legislators and the public with the facts surrounding Sex Offender Issues. Our concern is for every citizen of Florida to enjoy a safer environment, particularly our children.



Start Talking: 10 Conversation Starters
A talking-points resource compiled for you by leaders in the movement to end exploitation.

Managed by award-winning authors of Good Pictures, Bad Pictures, this blog has frequent updates on how to start conversations with your children on healthy sexuality and how to build trust and keep the conversation going.

Culture Reframed Parents Program

We understand how daunting it can be to raise kids in a culture where they are bombarded with sexual images, including porn. That’s why we have provided this complete best-practice toolkit, which will help you raise porn-resilient kids. This program is amazing – it is research-based and FREE!

Educate and Empower Kids
Incredible resource that helps parents create an environment to make these topics safe to discuss and empowers parents with talking points and communication strategies. They also regularly update their news section with current events and dangers that parents should be aware of. They have written three books “30 Days of Sex Talks” for kids in age ranges of 3-7, 8-11, and 12+.

Fight the New Drug
If anyone knows how to get through to the pre-teen to young adult age groups, this is the group! They regularly present at middle schools, high schools, and colleges about the harms of pornography and have made it “COOL” to talk about these things. Parents can learn a lot from their material and it would be a great idea to visit their website together with your teens.

BOOK: Good Pictures, Bad Pictures and Good Pictures, Bad Pictures, Jr.
Best-selling book on Amazon that can be read together with your children (even as young as five!). The book gives kids a 5-point plan that teaches them how to avoid the brain-warping images of pornography and minimize the troubling memories of accidental exposure that often tempt kids to look for more and lead them into a dark and destructive addiction.


eChildhood is an Australia-based charity dedicated to mobilising responses that reduce the harmful effects of pornography on children and young people. Their annual reports on harms to chlidren, public health approach, and regular updates are great tools to help any parent, grandparent, educator, and others keep up!

Covenant Eyes

While you likely know about Covenant Eyes as an accountability and Internet safety tool, they also have really incredible resources to assist individuals, especially parents, in talking about these issues. Their blog is updated regularly with useful tips and ideas and they have a podcast, ebooks, and regular webinars all for free. Their resources are a go-to place for NCOSE staff to keep up with latest tech dangers and issues impacting kids and families.

Protect Young Eyes


White Ribbon Week

White Ribbon Week is a positive school program presented by volunteers or teachers that helps kids make healthy choices in media and technology. Every day, kids learn a new principle of online behavior—reinforced through discussions and fun activities. This program is research based and kid tested.

The Naked Truth Project

The Naked Truth Projects, based out of the UK, hosts school events, parent workshops, conferences and produces books on the topic of keeping kids safe from pornography. It is a christian perspective, but helpful for the whole community.

Internet Safety 101 Program
Specially designed training program for parents and youth to help equip kids with tools to protect themselves online. The program covers many dangers such as avoiding predators, bullying, privacy, and pornography.

Teen Safe
Tool to allow parents to monitor their children’s texts, calls, social media, location and more. The blog has helpful information about many of the dangers they face in the digital world.

Cherished is a nonprofit organization, comprised of a residential program and social enterprise that is run by survivors of commercialized sexual exploitation, human trafficking, addictions and life on the streets.



  • Abuse Lawsuit Provides legal support and advocacy for survivors of institutionalized sexual abuse.


  • Child Justice, Inc. A non-profit oganization that advocates for children’ rights when the courts fail to protect them from abuse and domestic violence including CSA.


  • King County Sexual Assault Resource Center (King County, Washington) Legal Advocates for victims of sexual assault and their family members, including minors. Legal advocates will be available to answer questions, provide with information, and help navigate the legal system.


  • Legal Services for Children, Development of ARC (Advocacy, Relationship, Coordination), California (from website) For children who are victims of abuse and exploitation. Legal Services for Children (LSC) provides free legal and social services to children and youth in need. Each year, LSC serves over 2,500 children and provides comprehensive representation to approximately 600 youth. World Childhood Foundation supports the development of ARC (Advocacy, Relationship, Coordination) to enhance agency response to child trauma and part of establishing services at the Center for Youth Wellness.



  • Victims Right Center The center provides legal supports and serves as a catalyst for justice for every victim of any type of sexual violence.

ATSA, through its national line, and then member network, can provide local referrals for specifically trained therapist. Maia Christopher, Executive Director


Circles of Support and Accountability (Qualitative Evaluation) (COSA) A summary of COSA and related evaluations by Robin Wilson, explains that this model that grew from Canadian Mennonites and has gone international builds on restorative justice with professional supports and brings the community into assisting in risk management of released sex offenders. The evaluations point to increased accountability and greater safety for victims.


Stop it Now! Helpline http://www.stopitnow.org/get-immediate-help?color_box=width%3D600%26amp%3Bheight%3Dauto; (helpline)       http://www.stopitnow.org; (general) is primarily geared towards adults; it’s also a source for information and assistance for professionals and parents of youth who has problematic/harmful sexual behaviors.


StopSO, (Specialist Treatment Organization for the Prevention of Sexual Offending, UK)

These UK services are for anyone who feels at risk to commit a sex offense as well as those who have but who have not been caught. UK has different sets of reporting laws than the US and in various countries are look to ways to get those at risk to offend to seek help to not start or to stop harmful behaviors. On their website they outline the following ways to know “if therapy is for you”

  • You feel that your thoughts are worrying, and want help with them
  • You suffer stress, low self-esteem, depression or isolation
  • You worry that your behavior may escalate
  • Your behavior may be impacting on relationships, family and work
  • You feel on the brink of committing a sexual offence
  • You feel on the verge of losing everything
  • You are concerned that your behavior may become out of control
  • Other people may be at risk
  • Alcohol, drugs or other addictive behaviors may be increasing in an attempt to cope
  • You may be a man, or a woman, adult or adolescent
  • You may have had bad experiences of therapy in the past, and be reluctant to ‘try again’
  • You may know someone who is acting inappropriately


StopSO therapists are trained to work with everyone, in a non-judgmental way. They also offer family therapy and a range of resources for professionals who do this work


Self Help for those with Pedophilia (grass roots)

Self-help groups for those with pedophilia, or who struggle with problematic or compulsive behaviors but who haven’t acted, are one way for those seeking help to not harm a child can seek support to not act. Some of the groups have worked to build connections with professional associations of therapist and others have not. Some make it clear that an adult “having sex” with a child is always wrong. Most highlight the importance of seeking help so they do not harm a child.


ASAP Association for Sexual Abuse Prevention, Gary Gipson/Oregon, has goals of preventing sexual abuse by making therapy available to those with pedophilia before they ever act. Other goals are to educate the public and link non-offending pedophiles with therapist. Former website of theirs was “ilovechildren.net” which got a range of response from around the world.


Blue Rock Institute, for those who struggle with problematic and compulsive sexual behaviors including pedophilia or who are addicted to child pornography but who haven’t acted. Joan Tabachnick wrote a blog about founder Chuck Flinton


Virtuous Pedophiles (Nick Devlin) – This effort takes a hard line that sex with children is always harmful.

Circles of Parents, Circles of Parents split from another resource, Parents Anonymous. Circle of Parents are parent and care provider led support circles. According to Linda Johnson, PCAVT executive director, at their Circles of Parents program, the majority of parents (3/4) have histories of being sexually abused as children or adults and/or their children have been; and 25% are referred by Department of Children and Families or Family court and have been accused of hurting their one children – the rest self-refer. These groups are for all types of child maltreatment and neglect including child sexual abuse or related problematic behaviors. However, no perpetrators of sexual violence are permitted to join.


Inner Circle   offers support to friends and family facing the challenges of supporting someone who has offended. Inner Circle is a Support Group for Friends and Family of those who have offended.  This Group is Hosted at Project Pathfinder but facilitated by family members who have had to navigate the issues surrounding supporting and/or being involved with those who have sexually offended. Inner Circle is free of charge and is offered to the community at large, not just Project Pathway clients.


Mothers of Sexually Abused Children (MOSAC)  The MOSAC site is designed specifically for mothers who have experienced the sexual abuse of one of their children. Life is difficult for mothers following the disclosure of a child’s abuse, and they often have few, if any, resources available to them. This site is designed to be a comprehensive source of information about sexual abuse and to offer support and resources. (from website)

NEARI Parent to Parent Resources podcast by a range of issue experts and other tools for parents.


Nurturing Parent Programs: PCAVT modified version of their CSAP program to be specifically for at risk parents. They offer these programs about 70 times a year and also have contract to do them in men’s prison. The programs are multiple sessions, from 13-19 weeks.

Stop It Now! Help Line is for those looking for information, referrals for victims of CSA, youth or adults with problematic sexual behaviors; family members; professionals who work with them. The helpline is open 5 days a week from 12-6 and also can be reached via phone, email, social media and soon chat or text. Their updated website is a source of information for follow-up to callers or resources when the line is not active. They have a wide range of calls from parents wanting to know how to talk to their children about sexual abuse to an email from teens looking for help. As executive director, Jenny Coleman explained, we’ve had a teen who called saying, “Please help me. I will kill myself if I hurt a child and yet I have this interest in children.” The Stop It Now! Helpline networks with several other helplines to be able to offer more comprehensive services.





Families of children victimized, families of youth who’ve caused harm & families of adults who’ve sexually offended


While may be tempting to think of treatment for youth who commit offenses as totally separate from treatment for those victimized, some families have both those who did the harm and those harmed. Imagine the added challenges for parents and caregivers when attempting to understand and to meet the needs of both.

ATSA (Association for Treatment of Sexual Abusers) refers to trained therapists who serve non-offending parents/partners/family members.


Florida Action Committee Reforming Sex Offender laws– Gail Colletta, mother whose son sexually abused a child as an adolescent, he got a long sentence, the founder/mother is herself a survivor but concerned about FL laws as the affect youth


Reform Sex Offender Laws (RSOL) & Women Against Registry (WAR) are examples of grass root groups of individuals/families who’ve been negatively affected by a family member criminal history leading to that person being on the sex offender registry







Helplines & Hotlines

Hotlines and Helplines vary in scope from serving as referral and crisis lines with emphasis on reporting assistance to anonymous lines and offering short-term counselling/support and links to a broader range of services. Changing with technology, more such lines also offer ways to connect through chat and test and every changing digital and social media formats.



  • I in 6 for information and support for men who are survivors of child sexual abuse. 1 in 6 has CHAT page for help 24-7 with trained advocates. A number of the other help and hotlines refer adult male survivors of child sexual abuse to them.


  • 2-1-1 According to the United Way 2-1-1 website, 2-1-1 is a free, confidential service for people across North America to be linked to the local mental health services they need. The service is 24/7 and staffed by highly trained professionals.
    • When emailing their general line instead of entering zip code, state, city, county to find needed resources the return email says

If you are in need of 2-1-1 services, please dial 2-1-1 from your phone or use the search function at www.211.org to find the 2-1-1 center near you. If this is an emergency, please dial 9-1-1 or one of the following crisis hotlines:

National Suicide Prevention Hotline: 1-800-273-TALK (8255)


Use these awareness tools to educate others on these issues.

NCOSE's 2019 Victories and Highlights

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