We have on appeal a decision of a district court of appeal declaring invalid a state statute and certifying the following question to be of great public importance:
AS IT APPLIES TO A DISABLED ADULT, IS SECTION 90.803(24), FLORIDA STATUTES (2001), VIOLA-TIVE OF A CRIMINAL DEFEN*257DANT’S RIGHT TO CONFRONT WITNESSES UNDER THE FLORIDA AND UNITED STATES CONSTITUTIONS?
State v. Hosty, 835 So.2d 1202, 1205 (Fla. 4th DCA 2003). We have jurisdiction. See art. V, § 3(b)(1), Fla. Const. We restate the certified question as follows:
AS IT APPLIES TO A MENTALLY DISABLED ADULT WHOSE NON-TESTIMONIAL HEARSAY STATEMENT THE TRIAL COURT DETERMINES MEETS CERTAIN QUALIFICATIONS OF RELIABILITY, IS SECTION 90.803(24), FLORIDA STATUTES (2001), VIOLATIVE OF A CRIMINAL DEFENDANT’S RIGHT TO CONFRONT WITNESSES UNDER THE FLORIDA AND UNITED STATES CONSTITUTIONS? [1]
We hold that the statute is constitutional and not in violation of the Confrontation Clause of the United States Constitution2 as applied to the nontestimonial hearsay statements in this case. We do hold that the testimonial statements made to law enforcement officers are in violation of the Confrontation Clause, and therefore the statute is unconstitutional as applied to those statements.
FACTS
Brunei Hosty was charged with sexual battery on a mentally disabled person in violation of section 794.011(4)(e), Florida Statutes (2001). The following facts were included in the State’s notice of intent to introduce the victim’s hearsay statements. The victim is a mentally retarded woman with an IQ of fifty-three who cannot perform normal, daily activities such as handling money or utilizing public transportation by herself, although she can assist in household chores and care for her personal hygiene. Although the victim was twenty-three years old at the time of the incident, the State contended that she had the mental capacity of a ten-year-old child. The victim’s teacher noticed that the victim was acting withdrawn and lethargic at school on February 24, 1999, prompting her teacher to ask her if something was wrong. The victim told her teacher that the bus driver, the defendant, had sex with her. When her teacher asked her to explain, the victim stated that after the bus driver stopped at a convenience store and bought the victim a soda, the driver took her clothes off and had sex with her. The teacher asked the victim where the defendant had touched her, and the victim pointed to her vagina.
(24) HEARSAY EXCEPTION; STATEMENT OF ELDERLY PERSON OR DISABLED ADULT.—
(a) Unless the source of information or the method or circumstances by which the statement is reported indicates a lack of trustworthiness, an out-of-court statement made by an elderly person or disabled adult, as defined in s. 825.101, describing any act of abuse or neglect, any act of exploitation, the offense of battery or aggravated battery or assault or aggravated assault or sexual battery, or any other violent act on the declarant elderly person or disabled adult, not otherwise admissible, is admissible in evidence in any civil or criminal proceeding if:
1. The court finds in a hearing conducted outside the presence of the jury that the *258time, content, and circumstances of the statement provide sufficient safeguards of reliability. In making its determination, the court may consider the mental and physical age and maturity of the elderly person or disabled adult, the nature and duration of the ábuse or offense, the relationship of the victim to the offender, the reliability of the assertion, the reliability of the elderly person or disabled adult, and any other factor deemed appropriate; and
2. The elderly person or disabled adult either:
a. Testifies; or
b. Is unavailable as a witness, provided that there is corroborative evidence of the abuse or offense. Unavailability shall include a finding by the court that the elderly person's or disabled adult’s participation in the trial or proceeding would result in a substantial likelihood of severe emotional, mental, or physical harm, in addition to findings pursuant to s. 90.804(1).
(b) In a criminal action, the defendant shall be notified no later than 10 days before the trial that a statement which qualifies as a hearsay exception pursuant to this subsection will be offered as evidence at trial. The notice shall include a written statement of the content of the elderly person’s or disabled adult's statement, the time at which the statement was made, the circumstances surrounding the statement which indicate its reliability, and such other particulars as necessary to provide full disclosure of the statement.
(c) The court shall make specific findings of fact, on the record, as to the basis for its ruling under this subsection.
*257The State filed notice of its intent to use the victim’s hearsay statements describing the alleged crime to her teacher and a law enforcement officer under the disabled adult hearsay exception contained in section 90.803(24), Florida Statutes (2001).3 *258This exception allows out-of-court statements made by either an elderly person or a disabled adult to be admitted in civil or criminal proceedings if the statements relate to a narrow list of specified crimes, the court makes a determination of reliability, and the declarant either testifies or is unavailable as a witness. The Stated cited the following factors as indicia of the reliability of the victim’s statements in this case: (1) the victim’s IQ places her in the mild mental retardation range; (2) the sexual abuse lasted no longer than two hours; (3) the defendant was a complete stranger; (4) the statement was made within twenty hours of the incident, was spontaneous, and was not elicited by leading questions; (5) the victim was withdrawn and lethargic at the time she made the statement, demonstrating that she was still emotionally affected by the incident; (6) the language she used was child-like; (7) there was no motive for her to fabricate the events since the defendant was a stranger; (8) there are no indications that she cannot differentiate between reality and fantasy; and (9) on March 8, 1999, in a second statement made to the police, she stated that the defendant bought her a soda, took her clothes off, fondled her breasts, had sex with her on a seat by putting his “private thing” into her, and told her not to tell anyone.
At the hearing on Hosty’s motion to strike the State’s notice, both Hosty and the State stipulated that the victim is a disabled adult and that she was competent to testify based upon several reports filed by psychologists. In his motion to strike the State’s notice, Hosty argued that section 90.803(24) is facially unconstitutional in light of our decision in Conner v. State, 748 So.2d 950 (Fla.1999). In Conner, we held that section 90.803(24) was facially unconstitutional in violation of the Confrontation Clause as applied to elderly adults but expressly declined to reach the constitutionality of the statute as it applied to disabled adults. Id. at 960 n. 11. After the hearing, the trial court granted the motion to strike and declared the statute unconstitutional as applied to disabled adults.
The State filed a petition for certiorari review to the Fourth District Court of Appeal, and the Fourth District denied the petition. State v. Hosty, 835 So.2d 1202, 1203 (Fla. 4th DCA 2003). The Fourth District agreed with the trial court that
*259the provision for disabled adults in section 90.803(24) is facially unconstitutional because it suffers from the same constitutional shortcomings identified in Conner, namely: (1) the exception applies to a broad class of adult declarants; (2) the exception is broadly applicable to a wide variety of crimes and is not restricted to the disabled abuse context; (3) the statutory factors for the court to consider in assessing the reliability of the hearsay statement do not guarantee the reliability of the statement; and (4) the policies for upholding the narrowly drawn child abuse hearsay exception are not present in the broadly defined disabled adult context. Id. at 1204-05. The Fourth District then certified the question presented.
ANALYSIS
We review a district court’s decision declaring a state statute unconstitutional under a de novo standard of review. Fla. Dep’t of Children & Families v. F.L., 880 So.2d 602, 607 (Fla.2004). Both the Federal and Florida Constitutions provide that an accused has the right to confront the witnesses used against him or her at trial, a right which the Fourth District held was violated in the instant matter. U.S. Const. amend. VI; art. I, § 16, Fla. Const. In interpreting the federal4 Confrontation Clause, the Supreme Court held that the clause is not violated by the admission of an unavailable witness’s hearsay statements provided those statements bear “adequate ‘indicia of reliability.’ ” Ohio v. Roberts, 448 U.S. 56, 66, 100 S.Ct. 2531, 65 L.Ed.2d 597 (1980). Under this analysis, hearsay must either fall under a firmly rooted exception to the hearsay rule or the circumstances in which the statement was made must provide “a basis for rebutting the presumption that a hearsay statement is not worthy of reliance at trial.” Idaho v. Wright, 497 U.S. 805, 821, 110 S.Ct. 3139, 111 L.Ed.2d 638 (1990). The circumstances must be considered “so trustworthy that adversarial testing would add little to its reliability.” Id. It is under this framework that we considered the constitutionality of sections 90.803(23) and (24) in Conner, State v. Townsend, 635 So.2d 949 (Fla.1994), and Perez v. State, 536 So.2d 206 (Fla.1988).
Since those decisions, however, the Supreme Court has reconsidered its Confrontation Clause analysis. The decision in Crawford v. Washington, 541 U.S. 36, 124 S.Ct. 1354, 158 L.Ed.2d 177 (2004), overruled the Roberts test as it applied to out-of-court testimonial statements. The Supreme Court provided the following breakdown of the appropriate constitutional analyses for nontestimonial and testimonial hearsay:
Where nontestimonial hearsay is at issue, it is wholly consistent with the Framers’ design to afford the States flexibility in their development of hearsay law — as does Roberts, and as would an approach that exempted such statements from Confrontation Clause scrutiny altogether. Where testimonial evidence is at issue, however, the Sixth Amendment demands what the common law required: unavailability and a prior opportunity for cross-examination. We leave for another day any effort to spell out a comprehensive definition of “testimonial.” Whatever else the term covers, it applies at a minimum to prior testimony at a preliminary hearing, before a grand jury, or at a former trial; and to police interrogations.
*260Crawford, 541 U.S. at 68, 124 S.Ct. 1354 (footnote omitted). Thus, Crawford changes our review of the constitutionality of the statute in the context of testimonial statements. However, in considering the admissibility of nontestimonial hearsay, we may continue to take into account the circumstances indicating the reliability of the statement, in accordance with Roberts.
As stated above, we previously considered the constitutionality of sections 90.803(23) and (24), considering the admissibility of hearsay statements made by children and elderly persons. The Court first considered the constitutionality of section 90.803(23)5 in Perez. There, the defendant was charged with the lewd assault of a three-year-old child, and the State attempted to admit hearsay statements made by the child victim about the incident to his mother and the investigating officers. Perez, 536 So.2d at 207. Perez argued that section 90.803(23), under which the State sought to admit the child’s hearsay statements, was a violation of the Confrontation Clause. Like the statute at issue in the present case, the child hearsay statute requires that a trial court find that “the time, content, and circumstances of the statement provide sufficient safeguards of reliability.” § 90.803(23)(a), Fla. Stat. (2001). The statute further provides that the trial court may consider “the mental and physical age and maturity of the child, the nature and duration of the abuse or offense, the relationship of the child to the offender, the reliability of the assertion, the reliability of the child victim, and any other factor deemed appropriate.” Id. We approved the decision of the lower court holding that section 90.803(23) was constitutional, finding that the statutory requirements ensured that the child’s hearsay statements were reliable before they were admitted at trial, in accordance with the requirements of Roberts. Perez, 536 So.2d at 209.
We again considered section 90.803(23) in Townsend. There, a two-year-old child told her mother that she had been sexually abused by her father. We held that the statements from the child to her mother could be admissible, provided that the trial court found on the record that the state*261ments bore the constitutionally required guarantees of reliability. Townsend, 635 So.2d at 957. In addition to those factors listed in the statute, we listed other potential considerations that a trial court should take into account in determining the reliability of the hearsay statements:
[A] consideration of the statement’s spontaneity; whether the statement was made at the first available opportunity following the alleged incident; whether the statement was elicited in response to questions from adults; the mental state of the child when the abuse was reported; whether the statement consisted of a child-like description of the act; whether the child used terminology unexpected of a child of similar age; the motive or lack thereof to fabricate the statement; the ability of the child to distinguish between reality and fantasy; the vagueness of the accusations; the possibility of any improper influence on the child by participants involved in a domestic dispute; and contradictions in the accusation. In sum, as noted by the United States Supreme Court in Wright, a court is to use a totality of the circumstances evaluation in determining reliability.
Id. at 957-58 (citations omitted).
We next considered the constitutionality of section 90.803(24) as it applied to the hearsay statements of elderly persons. In Conner, the defendant was charged with armed burglary of a dwelling, armed robbery, and armed kidnapping of an eighty-four-year-old man who suffered from poor eyesight, hearing loss, and occasional memory lapses. 748 So.2d at 952. The State sought to admit the statements the victim gave to the police after the crime. The victim was unavailable because he died before trial. We held that section 90.803(24) violated the Confrontation Clause of the United States Constitution as it applied to the hearsay statements of elderly persons because the statute’s requirements did not ensure the reliability of the statements. Id. at 958. We also held that the statute was not supported by the strong policy interests present in a child abuse context. In addition, we noted that the statute was different from section 90.803(23) because it encompassed a broader category of declarants and the scope of testimony admissible was broader. We declined to address the portion of the statute applicable to hearsay statements of disabled adults, which we now consider.
In our consideration of the present case, we first note that the State is attempting to admit separate statements of the victim: those that she made to her teacher on February 24, 1999, and those made to the law enforcement officer on March 8, 1999. Under Crawford, testimonial hearsay statements may not be admitted unless the party not seeking their admission, in this case Hosty, has a prior opportunity for cross-examination. Although a full definition of “testimonial” was not set out by the Supreme Court, the decision in Crawford did specifically include police interrogations. 541 U.S. at 68, 124 S.Ct. 1354. We thus approve the exclusion of the hearsay statements that the victim made to the law enforcement officer if the victim is unavailable to testify and the defendant has no opportunity for cross-examination of the victim. On the basis of the Supreme Court’s decision in Craivford, those statements cannot be admitted because such statements are clearly testimonial.
However, we find that the statements the victim made to her teacher were not testimonial, and so we analyze the statute’s constitutionality in permitting those statements under the framework provided in Roberts. First, we note that the mentally disabled adult exception is *262not a firmly rooted exception to the hearsay rule. As we noted in Conner, section 90.803(24) was enacted in 1995. 748 So.2d at 957. Although, in contrast to the elderly adult hearsay exception, there are several other states that have enacted hearsay exceptions for statements by disabled or dependent adults,6 these statutes are not so longstanding or so numerous as to qualify this exception as firmly rooted.
Since this statute is not a firmly rooted exception, we apply our analyses of the statutes in Townsend and Conner. We believe that this ease presents a situation more analogous to that which we considered in Townsend.
The issues in respect to the mentally disabled are distinguishable from what we struck down in respect to the hearsay statements of elderly adults Conner. In Conner, we held that the concept of an “elderly person” is vague and not capable of being objectively defined and applied. Although the statute provided a reference to a definition of the term,7 as the majority pointed out in Conner, “any adult over the age of sixty potentially qualifies as an ‘elderly person’ under this definition.” 748 So.2d at 958. Mental disability, however, can have an objective basis upon which a trial court can determine that a person is mentally disabled and will apply to a much narrower group of people.8 Of course, before a witness’s hearsay statement may be used, the party seeking to present the statement must establish that a mental disability exists and meets the requirements of section 825.101(4), which will require record development and a trial court determination based upon that record.
Furthermore, we conclude that the purpose of the mentally disabled adult hearsay exception, as applied here, is similar to the purpose of the child hearsay exception as explained in Perez and Townsend. The public policy underlying the child hearsay exception, while not applicable in the elderly context, applies with equal force to mentally disabled adults. The victim in the instant case, for example, has the mental age of a ten-year-old child. She, like most ten-year-old children, may be incapable of understanding the abstract concepts of duty, truth, oath, and lie, and would have tremendous difficulty handling the psychological pressure of cross-examination regarding this traumatizing incident. This hearsay exception is intended to protect mentally disabled victims like her. Like children’s hearsay statements, mentally disabled adults’ hearsay statements shortly after the alleged criminal incident would likely be more reliable than their in-court testimony many months or years later, due to both their diminished cognitive abilities and their highly fragile emotional states. Both children and mentally disabled adults are similarly affected by “the stress and trauma of rehashing bad memories, hostile attacks on the[ir] credibility, [and] facing the alleged perpetrator *263again.” Dep’t of Health & Rehab. Servs. v. M.B., 701 So.2d 1155, 1158 n. 4 (Fla.1997). Furthermore, the defendant’s interests will be protected, for the trial court will have the opportunity to determine whether the hearsay statement was reliable, trustworthy, and corroborated by other evidence.
The most important distinction between the instant matter and Conner is that we find that the reliability factors applied in Townsend can be applied in situations involving a mentally disabled de-clarant. In Conner, we explicitly held that “unlike the child hearsay context, we are unable to formulate a list of permissible considerations that would ensure the reliability of a hearsay statement made by an elderly adult to the extent that ‘adversarial testing would add little to its reliability.’ ” 748 So.2d at 958-59 (quoting Wright, 497 U.S. at 818, 110 S.Ct. 3139). In the mentally disabled adult context, we find that we are able to formulate this list and herein adopt a list similar to that set out in Townsend. A trial court faced with the decision of whether to admit hearsay statements of mentally disabled adults will need to consider the factors we set out here, in addition to those set out by the statute, before the statements may be admitted. These factors include: (1) the spontaneity of the statement; (2) how the statement was elicited; (3) the mental state of the declarant when the abuse was reported; (4) how the declarant described the act; (5) whether the declarant used terminology unexpected of a similarly situated mentally disabled adult; (6) the motive or lack thereof to fabricate the statement; (7) the ability of the declarant to distinguish between reality and fantasy; (8) the vagueness of the accusations; (9) the possibility of any improper influence on the declarant; and (10) any contradictions in the accusation.
For these reasons, we find that the disabled adult hearsay exception as applied to statements of mentally disabled adults is distinguishable from the elderly adult hearsay exception struck down in Conner and similar to the child hearsay exception upheld in Townsend and Perez. We thus hold that section 90.803(24) is constitutional as applied to this case.
The Fourth District held that section 90.803(24) was facially unconstitutional. However, we have held that “a determination that a statute is facially unconstitutional means that no set of circumstances exists under which the statute would be valid.” Fla. Dep’t of Revenue v. City of Gainesville, 918 So.2d 250, 256 (Fla.2005). Because we find that the instant case presents a set of circumstances under which the statute is valid, we considered the issue of as-applied constitutionality rather than the facial constitutionality issue. We reverse the decision of the Fourth District Court of Appeal as that decision relates to a mentally disabled adult in respect to the statements made to the victim’s teacher. Those statements are admissible provided that the State establishes a proper factual predicate, as explained above, and that the witness either testifies or is unavailable in accordance with the statute. The trial court must “place on the record specific findings indicating the basis for determining the reliability of [the declar-ant’s] statements introduced as hearsay under” section 90.803(24). Townsend, 635 So.2d at 957.
We limit the analysis in this decision to mentally disabled adults since that is the material assertion in this case. We do not reach the issue of whether this statute is constitutional as applied to physically disabled adults who have no mental impairment.
*264We answer the rephrased certified question in the negative. We direct that the case be remanded to the trial court for its consideration of this case in light of this Court’s opinion.
It is so ordered.
LEWIS, C.J., and CANTERO and BELL, JJ., concur.
PARIENTE, J., concurs in part and dissents in part with an opinion.
QUINCE, J., dissents with an opinion, in which ANSTEAD, J., concurs.