There are alternatives to trauma treatment using Medicaid. Most regions have domestic violence sexual assault (including survivors of childhood sexual assault) programs who offer services free of charge regardless of income. They are based on empowerment, non-deficit models of treatment and their staffs are seasoned professionals well versed in trauma informed care. They are specialists in what they do and offer an array of services from resource brokering (finding housing, food, medical care, etc.), counseling, social advocacy, forensic rape kits performed by nurse practitioners who are sensitive to sexual assault survivors (too often hospital-based tests are performed by residents who may approach the survivors from a blaming stance), child care, temporary shelter, special programming like mindfulness, yoga, creative expressions and other similar activities, therapy for trauma-exposed children, legal counsel, career counseling and support groups.
These programs are funded through a variety of public and private sources.