This pamphlet discusses the problems of child sexual abuse, and introduces the Heart to Heart program created by the Ounce of Prevention Fund in Illinois. The pamphlet begins with reflections of adolescents who were sexually abused during childhood, and presents statistical information on this issue. It also discusses the various effects of childhood sexual abuse on child development and childbearing, the effects of abuse on female adolescents' sexuality and their capacity to learn, and the role of poverty in this issue. The rationale behind the Heart to Heart program is then described, including the goals of the program, and the different group sessions the program offers to teach teen mothers how they can protect their children from being sexually abused. Other aspects of the program described include journal writing and a community project. Contains 13 references. (MOK)