According to the Child Abuse Prevention and Treatment Act (CAPTA), child sexual abuse is defined as: The employment, use, persuasion, inducement, enticement, or coercion of any child to engage in, or assist any other person to engage in, any sexually explicit conduct or simulation of such conduct for the purpose of producing a visual depiction of such conduct; or the rape, and in cases of caretaker or interfamilial relationships, statutory rape, molestation, prostitution, or other form of sexual exploitation of children, or incest with children. Sexual abuse can be hands on (molestation or assault) or hands off(showing children pornography or creating child pornography).