In Cleveland in 1987 a medical diagnosis of child sexual abuse was made in 127 children, resulting in their removal from home. The consequent intense scrutiny and public criticism around the case, together with the subsequent Butler-Sloss inquiry, resulted in the medical evidence being discredited, giving rise to a system which relies on children to speak out about their abuse. This book argues that this 1987 crisis continues to shape child protection today, resulting in opportunities to protect children being missed. Now re-issued with a substantial new introduction and concluding reflections, this book provides the only account by key professionals directly involved in the Cleveland cases, allowing readers to understand what really took place in Cleveland and why it continues to matter today. It analyses the many failures to address the plight of sexually abused children and makes constructive suggestions for the way forward to provide more effective interventions for children at risk.