Socioecological Perspectives on Healing After Child Sexual Abuse: An Application of the National Institute of Minority Health and Health Disparities Research Framework.

Children who experience childhood sexual abuse (CSA) and their non-offending family members are frequently referred to Children's Advocacy Centers (CACs) for multisector service coordination and evidence-based treatments. Little is known about how interactions with the CAC model impact healing after CSA from a socioecological context (child, parent/caregiver, family). This qualitative study explored facilitators and barriers to healing after CSA within a socioecological context among families that received care at an urban Midwestern CAC. Semi-structured interviews (n = 15) were conducted with parents of children who experienced CSA and received services at the CCAC. Data was analyzed using Braun and Clarke's six phase method of thematic analysis and a family-centered adaptation of the National Institute of Minority Health and Health Disparities Research Framework. Findings reflected three main themes: healing, facilitators and barriers, and opportunities for CACs to promote healing after CSA. In conclusion, CAC-based interventions that incorporate a socioecological approach and community-engaged perspectives may reduce barriers to care and promote healing after CSA for children, parents, and families.