Child sexual abuse (CSA) is a widespread problem that can affect victims’ well-being and functioning across the lifespan. For the past few decades, response to the problem has mainly consisted of early CSA prevention education for children and retribution for perpetrators. This article examines CSA and prevention efforts through a public health model, applying that theoretical frame to the case of the Stop It Now media campaign. It also recommends ways to expand the public health response to CSA to enhance both adult responsibility for addressing CSA and social connection between children and their caregivers.