The spanking the dad gave Kelly is implied to have been on her bare bottom, as Gilbert (father) admits to the court that he took off her pants, just as he was disciplined by his dad.
This entire film revolves around an eleven-year-old child's accusations that her father raped her.
*SPOILERS*
The mother and father passionately hug and kiss a few times.
A drawing of a penis is given to a detective.
Kelly tells a teacher that her father "has sex with her".
A brief image in black and white is seen of Kelly hunched over the toilet tank in her bathroom while her father rapes her (off-screen).
It's mentioned that Kelly's parents have a very active sex life.
Spanking is mentioned several times.
The words "panties", "anus", "vagina", "thing", "sexual" "fooling around" and "slut" are said once or twice.
Kelly is seen from the shoulders up taking a bath.
Patrick screams while getting a bath, and it's mentioned that he was raped as well.
Kelly's father says that he let Kelly touch his penis.
The mother and father are seen in bed together, but they're both wearing pajamas.
Kelly has to testify about the abuse in the British Columbia courtroom.
A teacher discusses sexual abuse in class. One girl says that her cousin was being abused sexually and that her uncle was charged with assault on a minor.
There's some gross general talk about child abuse.
Chrissy and her husband kiss and hold hands.
Chrissy tells the court that she had to remove a soap crayon from Kelly's bottom once while her parents were away.
Some innuendo.