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Barriers and facilitators to treatment seeking and engagement amongst women with complex trauma histories

Complex traumatic experiences, such as childhood sexual and physical abuse, occur in approximately 13% of the Australian population and are more common in women. Despite the prevalence of complex trauma and the need for evidence‐based services for survivors, no studies have explored treatment‐relate...

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Autores principales: de Boer, Kathleen, Arnold, Chelsea, Mackelprang, Jessica L., Nedeljkovic, Maja
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10084282/
https://www.ncbi.nlm.nih.gov/pubmed/35545923
http://dx.doi.org/10.1111/hsc.13823
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author de Boer, Kathleen
Arnold, Chelsea
Mackelprang, Jessica L.
Nedeljkovic, Maja
author_facet de Boer, Kathleen
Arnold, Chelsea
Mackelprang, Jessica L.
Nedeljkovic, Maja
author_sort de Boer, Kathleen
collection PubMed
description Complex traumatic experiences, such as childhood sexual and physical abuse, occur in approximately 13% of the Australian population and are more common in women. Despite the prevalence of complex trauma and the need for evidence‐based services for survivors, no studies have explored treatment‐related experiences of women with complex trauma in Australia. The aim of the current study was to identify barriers and facilitators to treatment seeking and engagement amongst women who have experienced complex trauma in Australia. Semi‐structured interviews were conducted with 11 women with complex trauma histories who presented to a university outpatient psychology clinic. Content analysis was used to identify common barriers and facilitators to mental health treatment seeking and engagement amongst these women. Participants faced three key barriers when seeking treatment and engaging in mental health services: systemic issues, dissatisfaction with treatment and intrapersonal barriers (e.g. fear of the healthcare system). Appropriate support from supportive, committed health care workers was a facilitator to engagement and access. Findings from this study suggest that the mental health system in Australia may not be meeting the needs of women with complex trauma histories. Increasing access to affordable, trauma‐informed care and bolstering providers' knowledge of complex trauma, may enable some of the barriers identified by participants to be overcome.
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spelling pubmed-100842822023-04-11 Barriers and facilitators to treatment seeking and engagement amongst women with complex trauma histories de Boer, Kathleen Arnold, Chelsea Mackelprang, Jessica L. Nedeljkovic, Maja Health Soc Care Community Original Articles Complex traumatic experiences, such as childhood sexual and physical abuse, occur in approximately 13% of the Australian population and are more common in women. Despite the prevalence of complex trauma and the need for evidence‐based services for survivors, no studies have explored treatment‐related experiences of women with complex trauma in Australia. The aim of the current study was to identify barriers and facilitators to treatment seeking and engagement amongst women who have experienced complex trauma in Australia. Semi‐structured interviews were conducted with 11 women with complex trauma histories who presented to a university outpatient psychology clinic. Content analysis was used to identify common barriers and facilitators to mental health treatment seeking and engagement amongst these women. Participants faced three key barriers when seeking treatment and engaging in mental health services: systemic issues, dissatisfaction with treatment and intrapersonal barriers (e.g. fear of the healthcare system). Appropriate support from supportive, committed health care workers was a facilitator to engagement and access. Findings from this study suggest that the mental health system in Australia may not be meeting the needs of women with complex trauma histories. Increasing access to affordable, trauma‐informed care and bolstering providers' knowledge of complex trauma, may enable some of the barriers identified by participants to be overcome. John Wiley and Sons Inc. 2022-05-12 2022-11 /pmc/articles/PMC10084282/ /pubmed/35545923 http://dx.doi.org/10.1111/hsc.13823 Text en © 2022 The Authors. Health and Social Care in the Community published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Original Articles
de Boer, Kathleen
Arnold, Chelsea
Mackelprang, Jessica L.
Nedeljkovic, Maja
Barriers and facilitators to treatment seeking and engagement amongst women with complex trauma histories
title Barriers and facilitators to treatment seeking and engagement amongst women with complex trauma histories
title_full Barriers and facilitators to treatment seeking and engagement amongst women with complex trauma histories
title_fullStr Barriers and facilitators to treatment seeking and engagement amongst women with complex trauma histories
title_full_unstemmed Barriers and facilitators to treatment seeking and engagement amongst women with complex trauma histories
title_short Barriers and facilitators to treatment seeking and engagement amongst women with complex trauma histories
title_sort barriers and facilitators to treatment seeking and engagement amongst women with complex trauma histories
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10084282/
https://www.ncbi.nlm.nih.gov/pubmed/35545923
http://dx.doi.org/10.1111/hsc.13823
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