Self-reported maltreatment by a caregiver prior to entry into out-of-home care was measured at baseline in the Midwest study using the Life Experiences Questionnaire (LEQ; Rose, Abrahamson, & Kaupie, 2000). These questions focused on 16 types of mistreatment by immediate caregivers prior to first entry into out-of-home care. There were nine items specifically measuring neglect, and seven items measuring physical abuse. At baseline, Institutional Review Board concerns precluded the inclusion of multiple items assessing child sexual abuse by immediate caregivers prior to first entry into out-of-home care. Information at baseline about prior sexual abuse or assault are therefore drawn from two IRB approved questions included in the Composite International Diagnostic Interview (CIDI), a standardized assessment of mental health and/or substance use (CIDI; World Health Organization, 1993). These questions asked whether sexual molestation or sexual assault had ever occurred. Because it is generally better to use multiple questions to cover a range of experiences rather than a summary term (Brown et al., 1998), one limitation of this study is the imprecise information about self-reported sexual victimization prior to entry into out-of-home care.