Child sexual abuse (CSA) is a pervasive public health issue with long-term individual and societal consequences. Historically, prevention efforts have largely focused on school-based programs aimed at equipping children with protective behaviors and educating parents on warning signs and response strategies. However, this approach places the burden of prevention on the most vulnerable—children and their caregivers—rather than addressing the systemic and societal factors that create conditions for abuse. This presentation will describe a multilevel collective action approach to child sexual abuse prevention implemented in one state that aims to transform the narrative of responsibility for child sexual abuse prevention from individual and family-level action to a broader societal responsibility. Using evaluation data and lessons from implementation of a multilevel systemic approach to child sexual abuse prevention, we make a case for shifting responsibility for this issue away from parents and children and toward a collective societal responsibility. Data from this initiative will be shared positioning CSA prevention as a public health issue requiring systemic solutions, including policy reforms, institutional changes, and community-based interventions. The presentation will share insights for impact based on implementing and evaluating this approach. Findings include individual and organizational impacts highlighting the possibility of prevention. Attendees will gain insights into how multilevel strategies can reduce the incidence of child sexual abuse by addressing the systemic root causes of abuse, reinforcing protective community norms, and promoting a culture of collective accountability. By shifting the narrative from individual to societal responsibility, this initiative offers a transformative model for more effective and equitable CSA prevention.