Child Sex trafficking is defined as a commercial sex act induced by force, fraud, or coercion or in which the person induced to perform a sex act is not yet 18 years of age. Among girls with a history of sex abuse, more than half were abused before the age of 12. Two-thirds of these girls suffer from post traumatic stress disorder (PTSD). Most all come from homes suffering from abuse or neglect. Jewish Child Care Association has been among those organizations at the forefront of the trafficking issue. There are fewer than 100 beds nationwide for these abused girls. Jewish Child Care Association has a cottage of 13 young women on its campus in Pleasantville, New York. The GATEWAYS program is a 13-bed residential treatment center for sexually exploited girls, ages 12-16. We provide intensive residential treatment services so that girls can heal and achieve healthy relationships, supported by family and other positive peer and adult influences. They attend school on the campus, receive tailored individual, group and family therapy and a therapeutic range of recreational activities. Our model has been incredibly successful to date as over the past three years of the program, more than two dozen young women have returned back to their families or have transferred to family foster care. GATEWAYS is the only program of its kind in New York State and our cottage represents 18% of residential beds nationwide for sexually exploited children.