Military cultural competency in Canadian sexual assault support centers: "Not here for lessons"

Abstract: Military cultural competency involves understanding the unique needs of military and veteran (MV) populations. Research shows that culturally competent care improves health outcomes, yet little is known about civilian sexual assault centers (SACs) supporting MV clients. Many MV clients affected by military sexual trauma (MST) seek community services due to mistrust of the military system. This study examined the military cultural competency of Canadian SACs to improve support for MV clients. Virtual qualitative interviews were conducted with SAC staff across Canada who support MV clients affected by MST. Data were analyzed using Framework Analysis, guided by the Military and Veteran Family Cultural Competency Framework and related literature. Inductive interpretive phenomenological analysis was also applied. Five interviews with SAC staff revealed varying levels of military cultural competency, especially in cultural knowledge and skills. Participants expressed strong interest in adopting promising practices to enhance care. The study identifies strengths and gaps in SACs' support for MST survivors, offering recommendations for resource development, staff training, and competency frameworks. Further research and policy review are needed to address these gaps and enhance culturally competent care.

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