Before the Prison Rape Elimination Act (PREA) of 2003, it was not clear the extent to which state departments of corrections (DOCs) were addressing sexual violence in systematic ways. In fact, little information existed about what strategies were being put into practice in prison systems across the country. PREA has changed the way DOCs are addressing prison sexual violence (PSV). Mandatory recordkeeping and a push for eliminating such incidents has moved many DOCs to develop specific responses to PSV or to further refine approaches already in place. The purpose of the current project was to provide a national snapshot of DOC initiatives to address PSV, as well as to identify specific practices that seemed to be, in the absence of formal evaluations, particularly promising or innovative in nature.