<p>There is a body of research on the impacts of child sexual abuse and the value of therapeutic support for children in its aftermath. Yet literature suggests that children with these experiences are not always getting the support they are entitled to in the pre-trial period of associated legal proceedings. This is a period where support needs can often be heightened. This article presents the findings of a scoping review of the literature which explored pre-trial therapy guidelines and experiences in this context. Analysis of 70 resources indicate that misconceptions about pre-trial therapy – coupled with a lack of training and support for professionals – has led to variable practice in if and how pre-trial therapy is delivered. Attention is paid to the negative implications of this, given what is already known about the difficulties of criminal justice processes in England and Wales, and wider pressures on children’s services. The publication of updated pre-trial therapy guidance during the period of this review signals the relevance and timeliness of exploring this topic. The relative absence of children’s voices on pre-trial therapy also points to a need for further research in this area to better understand children’s needs and experiences of pre-trial therapy, as well as those of the professionals who play a role in its provision.</p>