Improving mental health service access for women survivors of child sexual abuse in BC, Canada. A system thinking perspective.

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dc.contributor.authorHoff-Bell, Mackenzie
dc.contributor.supervisorLepore, Walter
dc.date.accessioned2025-10-01T21:12:31Z
dc.date.available2025-10-01T21:12:31Z
dc.date.issued2025
dc.degree.departmentSchool of Public Administration
dc.degree.levelMaster of Arts MA
dc.description.abstractThis study explores the systemic barriers that women child sexual abuse survivors (WCSAS) face when accessing mental health services in British Columbia (BC), Canada. Using an interpretive, qualitative, and system thinking approach, this study integrates the perspectives of survivors and service providers to uncover economic, social, cultural, and structural barriers to care. Semi-structured interviews with WCSAS and a mental health service provider (MHSP) informed a thematic analysis and the creation of actor and causal system maps. The study identifies key intervention points to enhance accessibility and recommends trauma-informed, culturally responsive, and publicly funded psychotherapy services. It fills a critical gap in Canadian literature by centring survivor voices and offers actionable pathways for policy, programming, and system reform. This research advocates for equitable, long-term support for WCSAS across BC’s fragmented mental health system.
dc.description.scholarlevelGraduate
dc.identifier.urihttps://hdl.handle.net/1828/22828
dc.languageEnglisheng
dc.language.isoen
dc.rightsAvailable to the World Wide Web
dc.subjectChild sexual abuse
dc.subjectWomen survivors
dc.subjectSystem thinking
dc.subjectMental health access
dc.subjectBritish Columbia
dc.subjectPsychotherapy barriers
dc.subjectIntersectionality
dc.subjectAccess
dc.titleImproving mental health service access for women survivors of child sexual abuse in BC, Canada. A system thinking perspective.
dc.typeThesis

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