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The NSW Sexual Behaviours Context and Response Tool (SB-CaRT) for children and young people

The NSW Sexual Behaviours Context and Response Tool (SB-CaRT) guides workers through a clear process to determine if a child’s sexual behaviour is developmentally expected, problematic, or harmful.

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By NSW Ministry of Health

Published on 2026

The NSW SB-CaRT was informed by extensive stakeholder consultation, cross-sector co-design, workshops and user testing. Aboriginal workers from government and non-government sectors contributed throughout to support culturally responsive practice with Aboriginal children, young people and families.

How this resource can help

Use this resource to

  • Consider the context and factors that may be influencing the behaviour

  • Determine the level of concern and develop an appropriate response

  • Make informed, proportionate decisions, and provide responses that are tailored to the child's needs

It covers

  • Comprehensive assessment of behaviour through a contextual and developmental lens

  • Guidance notes and links to additional resources further support culturally responsive, trauma-informed, and child-centred practice

More information

Developed by the NSW Government through a cross-agency partnership led by NSW Health and co-sponsored by the Department of Communities and Justice, Department of Education and NSW Police. The tool aligns with relevant NSW legislation, policy and practice frameworks and promotes coordinated responses across services to achieve better outcomes for children, young people and their families.

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Last reviewed by Together We Can: 13 July 2026

What is problematic and harmful sexual behaviour

Problematic and harmful sexual behaviour affects children, families, and communities. Understanding it clearly is the first step toward effective prevention, recognition, and response.

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Parents and carers

If you’re a parent or carer seeking information or worrying about a behaviour, you're not alone. Find resources to help you understand child sexual development, support safety, and respond to concerns about sexual behaviour.

Children and young people

It’s normal to have questions about your body, feelings, sex and relationships. If you’re a young person looking for information – head here. We’ve got information just for you.