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The current research aims to understand both the misuse of technology and the characteristics associated with child sexual abuse victimization in Puerto Rico. Using a retrospective chart review of 22 patient records, we examine the victim / perpetrator characteristics, contextual factors, and the lived experiences of child sexual abuse. Themes identified based on inductive analysis include: (1) the misuse of digital technologies to facilitate the sexual exploitation of children and (2) the role of situational characteristics in incidents of child sexual abuse. Policy implications and directions for future research are discussed.