Evidence map›Paper›PMID 41448455›Full record

ArticleAcademic pediatrics2026

Facilitators and Barriers to Mental Health Services for Black and Latino Children After Sexual Abuse.

Hiu-Fai Fong, Margarita Alegría, Ora Nakash, Yamile Lugo Rodriguez, Adolfo Caldas, Megan Bair-Merritt, William Beardslee, Mary McKay, Michael A Lindsey

Abstract read
In one paragraph

Article in Academic pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Hiu-Fai FongDivision of General Pediatrics (H-f Fong and YL Rodriguez), Boston Children's Hospital, Boston, Mass; Department of Pediatrics (H-f Fong), Harvard Medical School, Boston, Mass. Electronic address: hiu-fai.fong@childrens.harvard.edu.
Margarita AlegríaDisparities Research Unit (M Alegría), Department of Medicine, Massachusetts General Hospital, Boston, Mass.
Ora NakashSchool for Social Work (O Nakash), Smith College, Northampton, Mass.
Yamile Lugo RodriguezDivision of General Pediatrics (H-f Fong and YL Rodriguez), Boston Children's Hospital, Boston, Mass.
Adolfo CaldasDepartment of Social Work (A Caldas), Boston Children's Hospital, Boston, Mass.
Megan Bair-MerrittOffice of Research and Sponsored Programs (M Bair-Merritt), Boston Medical Center, Boston, Mass.
William BeardsleeDepartment of Psychiatry (W Beardslee), Boston Children's Hospital, Boston, Mass.
Mary McKayGeorge Warren Brown School of Social Work (M McKay), Washington University, St. Louis, Mo.
Michael A LindseyNew York University Silver School of Social Work (MA Lindsey), New York, NY.

Funding

Developing an engagement intervention for Black and Latinx caregivers to improve children’s receipt of mental health services after sexual abuseK23MD016171 · NIMHD · BOSTON CHILDREN'S HOSPITAL · PI Hiu-fai Fong · 2022 to 2026
$838k
Early Intervention for Suicide Risk among Immigrant YouthK23MH112841 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI ALVAREZ, KIARA · 2017 to 2021
$821k
NIMHD NIH HHS K23 MD016171NIMH NIH HHS K23 MH112841
6 · The paper itself

Abstract

objectiveChild sexual abuse is associated with mental health (MH) challenges across the lifespan. Black and Latino children are less likely to receive MH services than children of other backgrounds. We aimed to identify facilitators and barriers to MH services for Black and Latino children after sexual abuse.

methodsWe conducted semistructured interviews with 30 Black and Latino, English- and Spanish-speaking caregivers of children who have experienced sexual abuse. Interviews were completed in caregivers' preferred language and modality (phone, video conferencing, or in person). Caregivers were asked about their opinions and experiences with initiating child MH services after sexual abuse. Interviews were audio-recorded, transcribed, and analyzed using thematic analysis.

resultsCaregivers (27% Black, 47% Latino, 27% Black and Latino) were mostly biological mothers (87%). Half were born outside the United States. Caregivers reported 3 facilitators to MH services after sexual abuse: 1) perceived benefits of MH services; 2) trust in MH providers; and 3) support from frontline professionals and systems. Caregivers reported timely support when there was cross-system care coordination. Caregivers described 5 barriers to MH services after sexual abuse: 1) perceived harms of MH services; 2) concerns about misjudgment and discrimination by MH providers; 3) stigma of sexual abuse; 4) youth's lack of engagement in MH services; and 5) structural obstacles to MH services.

conclusionsBlack and Latino caregivers identified multiple facilitators and barriers to MH services after sexual abuse. Our findings can inform the development and testing of evidence-based strategies to improve MH engagement and outcomes after sexual abuse.

Indexed as

Black or African AmericanChild Abuse, SexualHealth Services AccessibilityHispanic or LatinoMental Health ServicesAdolescentAdultCaregiversChildChild, PreschoolFemaleHealthcare DisparitiesHumansInterviews as TopicMaleMiddle AgedBlackcaregiverschild sexual abuseLatinomental health services

Identifiers

PMID41448455
PMCPMC12768460

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.