Financing mental health services at Child Advocacy Centers for victims of child sexual abuse and their families

Abstract

Child sexual abuse (CSA) is a significant public health concern and is associated with a multitude of negative health outcomes. A substantial body of research has shown that experiences of CSA increase risk for short-term and long-term negative sequelae across psychological, behavioral, physical, and biological domains. Mental health treatments have been effective at decreasing children's mental health symptomology after CSA and preventing future negative outcomes. Child Advocacy Centers (CACs) are a common entry point for children following disclosure of CSA and are intended to streamline services, promote collaboration, and increase accessibility of mental health services. CACs rely on the blending and braiding of multiple funding sources to provide mental health services. Yet, traditional funding mechanisms are insufficient to meet the mental health needs of this population. Specific barriers related to the current funding system and the community context of mental health service provision are discussed. The CAC model provides a unique opportunity to increase access to mental health services through innovative funding mechanisms. Recommendations for strengthening the CAC model through policy research and advocacy are provided. • CACs are a common entry point for children after disclosure of child sexual abuse. • Existing funding mechanisms do not meet the mental health needs of this population. • Complexities and requirements of third-party billing are a barrier to services. • Community capacity for evidence-based trauma-informed services is limited. • CACs can increase access through innovative policy, research, and advocacy.