@article{ref1,
title="Trauma services for youth victims of sexual abuse- does one size fit all? A qualitative study among service providers in Ontario, Canada",
journal="Child abuse and neglect",
year="2021",
author="Tiwari, Ashwini and Gonzalez, Andrea and MacMillan, Harriet and Jack, Susan M. and Kimber, Melissa and Wekerle, Christine and Smith, Savanah",
volume="112",
number="",
pages="e104903-e104903",
abstract="BACKGROUND: Despite a range of interventions available to treat mental health symptoms experienced by youth with a history of child sexual abuse (CSA), limited  empirical work has examined practitioner delivery of these interventions in  real-world practice. <br><br>OBJECTIVE: This paper aimed to qualitatively explore the  delivery of trauma-based interventions in community settings in Ontario, Canada. PARTICIPANTS AND SETTINGS: Using qualitative description, a purposeful sample of  service providers (N = 51; 92 % female) were recruited from nine community-based  organizations located in Southern Ontario, Canada providing psychotherapeutic  trauma-based interventions to youth with a history of child sexual abuse. <br><br>METHODS:  Semi-structured one-on-one (n = 17), joint (n = 3) and focus group (n = 5)  interviews elicited provider descriptions of their strategies and approaches for  addressing trauma-related symptoms in this population. Data were interpreted using  conventional content analyses. <br><br>RESULTS: Eclectic delivery of interventions and  multifactorial decision-making processes were identified as core elements of  treatment planning and intervention delivery among providers. Eclectic treatment was  described to involve the consideration of four core elements (provider judgement;  youth voice; youth characteristics; and clinical team discussion) of intervention  and three key principles (meeting youth needs; providing client-centered care;  addressing safety and stability). <br><br>CONCLUSIONS: Research capable of characterizing  the efficacy of client-centered, eclectic approaches to treat symptoms experienced  by youth with a history of CSA is needed.<p /> <p>Language: en</p>",
language="en",
issn="0145-2134",
doi="10.1016/j.chiabu.2020.104903",
url="http://dx.doi.org/10.1016/j.chiabu.2020.104903"
}