Commercial Sexual Exploitation of Children and Youth (CSECY)

Commercial Sexual Exploitation of Children and Youth

Commercial sexual exploitation of children and youth (CSECY) involves recruiting, harboring, or trafficking of a minor by force, fraud, or coercion for the purpose of sexual exploitation. Commercial sexual exploitation can involve prostitution, pornography, sex tourism, stripping, escort services, phone sex lines, and private parties. This is a form of child sexual abuse. Victims of commercial sexual exploitation experience threats of harm and direct violence repeatedly. On average, early adolescence, between ages 11-14 years, is the most common time for female children to fall victim to commercial sexual exploitation. While many of these children are girls, there is a rising population of boys who may become involved in sex trafficking for different reasons.


Children and youth who have been victims of commercial sexual exploitation often have significant mental health difficulties, including high rates of depression, anxiety, dissociation, PTSD, and suicidal ideation. These children and youth can become dependent on alcohol and street drugs as a method of coping. The long term impact of this victimization can include impaired cognitive functioning, educational deprivation, poor interpersonal relationships, and various physical health problems. Fear for their safety and mistrust of law enforcement affect the ability of these victimized youth to seek help from treatment providers.


Los Angeles has been identified by the Federal Bureau of Investigations (FBI) as one of the thirteen high intensity hubs for this victimization. In response to this fast-growing issue in Los Angeles County, the Transition Age Youth System of Care (TAYSOC) Bureau implemented a training program with two components: Awareness and Clinical Interventions to identify and provide services for CSECY victims. Trauma-informed evidence-based treatments, as well as intensive case management are necessary to address the cumulative trauma for children and youth involved in sex trafficking. It is essential that mental health service providers working with the CSECY population obtain specialized training that is culturally competent and trauma-informed.

For more information on resources and upcoming trainings, please contact

CSEC Initiatives & Efforts DMH Project Lead: 
Erica Reynoso, Ph.D., LCSW

CSEC Initiatives & Efforts DMH Manager:
Karen Streich, Ph.D. – MH Clinical Program Manager III



  • Coming soon

CSEC has become an epidemic in Los Angeles County and throughout the United States. It has become critical to increase awareness of CSEC, address related issues that impact the exploited youth and develop plans to intervene and prevent future exploitation.

Faith-based organizations, youth centers, homeless shelters, as well as other county departments may have significant contact with CSEC without them knowing the harsh reality of their lives. These community based agencies will benefit from understanding the signs of exploitation and the resources available to help this population. The training components will be comprised of four modules that address identification, key terminology, risk factors, and how to engage victims of CSEC.



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Related Information

Transition-Age Youth (TAY) System of Care (SOC)
Terri Boykins, LCSW, Deputy Director (213) 738-2408

Transition-Age Youth (TAY) Division
Mary Romero, LCSW, M.H. Clinical Program Mgr. III
(213) 738-4644

Belen Camacho-Fuller, LCSW, Program Manager II (213) 351-7737

For more information on our TAY Programs contact

TAY FSP Final Authorization Team:
Authorization Desk (213) 738-2027

TAY Enhanced Emergency Shelter Program
Gatekeeper (213) 738-6194

Permanent Supportive Housing Ambassador
Andrew Onaghise (213) 471-6529

TAY Navigation Program 
Haydouk Zakarian, LCSW (213) 351-7736

Terica Roberts, LMFT (213) 923-6459

TAY MHSA PEI Evidence-Based Practices and Co-Occurring Disorders Unit
Sermed Alkass, PsyD, Managing Psychologist (213) 738-4715

TAY Drop-In Centers
Rudy Ramirez
(213) 738-2521

Juvenile Justice and Probation Camps/Halls Division
Karen Streich, Ph.D. - District Chief (213) 738-2895

Juvenile Justice Aftercare Services Division
Belen Camacho-Fuller, LCSW, Program Manager II (213) 351-7737