Cultural considerations in the treatment of mental illness among sexually abused children and adolescents: the case of Bali, Indonesia

Service Organisations’ Cultural Competency When Working with Ethnic Minority Victims/Survivors of Child Sexual Abuse: Results from a Program Evaluation Study in Australia

Founded in the results of a systematic literature review, a professional development program was developed about the needs of ethnic minority victims/survivors of child sexual abuse, with one component on the role of organisations. The objective was to address the misperception that frontline workers are more responsible for cultural competency. The program was delivered across Australia in 2019 (T1 n = 112, T2 n = 44). Data collection for the program evaluation was conducted over six months using a mixed-methods design. The results show that: (a) a sizeable portion of organisations (16%) do not have any ethnic minority staff, and very few are in management positions (6–13%); (b) ethnic minority staff, and staff in organisations specialised for ethnic minority communities, offer choice to clients about ethnically-matched service providers more often; (c) there is evidence supporting the usefulness of ongoing training; (d) the use of a multicultural framework was rated higher ‘in principle’ than ‘in practice’, and ratings increased after the program; (e) the proportion of organisations collecting ethnicity-related data did not increase over time; (f) all organisations specialised for ethnic minority communities had visually inclusive websites but was only 54% for mainstream organisations; and (g) organisations specialised for ethnic minority communities have stronger links with other local ethnic minority community organisations. Overall, the program is seen as useful for promoting cultural competency at the organisational level; clearly identifying key mandatory and ideal elements, which support good practice with this highly vulnerable and marginalised client group.

Cultural considerations in providing trauma care to female, childhood sexual abuse survivors: Experiences from Pakistan

Abuse is associated with short and long term psychiatric consequences. There is a need to develop more culturally competent treatment, especially in the South Asian context. We present an account of our clinical experience with hospital-based therapeutic strategies that we found to be successful in a largely conservative, developing country.