The paper presents the multi-factorial problem of sexual abuse of children within their families, provides definitions of relevant terms (incest, sexual abuse, sexual misuse, molestation, sexual assault, rape), reviews the epidemiology of sexual abuse and its effects, and traces development of a Sexual Abuse Resource Team in a rural/resort New Hampshire community. It is noted that although the problem of sexual abuse has been referred to as a growing problem of "epidemic" proportions, this is attributable in large part to the fact that recognition and reporting of sexual abuse has significantly increased during the last 20 years. The various factors contributing to the etiology of sexual abuse are discussed and it is concluded that appropriate therapeutic response extends beyond any social, rehabilitative, or mental health service acting in isolation. This need for concerted action is cited as the reason for developing a systematic response, or protocol, to maximize opportunities for comprehensive and therapeutic investigation and outcome in rural communities where services are often limited. The discussion about the rural New Hampshire Sexual Abuse Resource Team addresses the crucial skills clinical social workers need to design, organize, and implement such a program. A diagram highlights how the protocol can be developed. (BRR)