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= 22) were synthesized via Joanna Briggs Institute meta-aggregation, deriving actionable themes while preserving meaning. Three stakeholder groups reported systemic challenges:• CYP (16 studies): Hesitated to disclose due to fear/blame; trauma was compounded by fragmented care but alleviated by empathetic, child-centered approaches.• Parents (6 studies): Critiqued services as disjointed and retraumatizing, urging proactive family advocacy.• Providers (6 studies): Cited interagency conflicts, resource gaps, and moral distress as barriers to trauma-informed care.This first meta-aggregation of post-child sexual assault crisis care identifies the need for systemic reforms; standardized multi-disciplinary protocols, dedicated family supports, and provider training as well as clinical and supportive supervision to mitigate secondary trauma. Findings underscore the need for trauma-informed systems to prevent compounding harm during this vulnerable period.
Whitehouse et al. (Thu,) studied this question.