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The Changing Futures child sexual abuse, domestic violence, and Campus Sexual Assault program works with 300 Bronx children and families annually. It is the only program in the Bronx to offer completely free long-term treatment services in a nurturing and supportive environment, that asks no questions about immigration status. Families with the most severe needs frequently experience the greatest difficulty in accessing quality treatment and are often affected by mental illness, substance abuse, and extreme poverty. 60% of participants are between the ages of 3-12, and 40% are 13 years or older.