This article is based on a keynote presentation given by the authors at the NOTA Annual International Conference 2003, Edinburgh, Scotland into policy, practice and service delivery across the UK and Republic of Ireland in respect of children and young people who have sexually abused others. The authors compare the emerging findings from their current research against the key recommendations arising from The Report of the Committee of Enquiry into Children and Young People who Sexually Abuse Other Children (NCH, 1992) which constituted, at that time, the most significant previous attempt to summarise the state of the field in the UK. The findings suggest that the adolescent sexual aggression field has progressed considerably in the decade since the publication of the earlier report, although uncertainties about some aspects of policy and service provision remain.