@article{01KDDH68Y023B7VYHF768WSXYD,
  abstract     = {{Background
Socioeconomic inequality, enforced through racial segregation during apartheid, continues
to shape present-day disparities in South Africa. It limits equitable access to essential
services and exacerbates health inequities, in particular, access to specialized traumafocused mental health services in marginalized communities.
Objectives
This study explores the intersections of systemic inequality and sexual violence by
developing a qualitative framework for integrative trauma-informed care (ITIC) intended
for resource-constrained settings. The study focuses on adult survivors of childhood sexual
abuse (CSA) from the Cape Flats region of Cape Town.
Methods
Framed within a critical, feminist community psychology perspective, ITIC sessions were
facilitated for 13 adult survivors of CSA, with variation in the number of sessions and the
duration of the intervention. Clinical histories were assessed. Applying ITIC, participantspecific narratives, and trauma recovery pathways were analyzed.
Results
The findings highlight the complex physical and mental health needs of participants, given
the long interval that had elapsed since their experiences of CSA. These findings informed
the development of a multi-component care framework that addresses prolonged trauma
suppression among adult survivors of CSA from marginalized communities, such as the
Cape Flats. Despite the long time elapsed between CSA and the initiation of ITIC, this form
of therapy supported more equitable trauma recovery.
Conclusion
The study develops a qualitative research-informed care framework that integrates various
factors associated with sexual trauma. Addressing the complexities in marginalized South
African contexts, it highlights the importance of recognizing individual differences in
trauma responses, comorbidities related to systemic violence, and pre- and post-trauma
experiences, allowing for tailored interventions that may potentially enhance therapeutic
outcomes.}},
  articleno    = {{e81240046}},
  author       = {{Morgan, Leona and Nadar, Sarojini and Keygnaert, Ines}},
  issn         = {{2420-8124}},
  journal      = {{HEALTH PSYCHOLOGY RESEARCH}},
  keywords     = {{Childhood sexual abuse,Trauma-informed care,Qualitative research,South Africa,Health services accessibility,PSYCHOLOGY,CRISIS}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{e81240046:1--e81240046:13}},
  title        = {{A qualitative model for integrative trauma-informed care for adult survivors of childhood sexual abuse in marginalized South African communities}},
  url          = {{http://doi.org/10.14440/hpr.0210}},
  volume       = {{14}},
  year         = {{2026}},
}

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