Abstract: Submission #135

Abstract The multiple disadvantages from the youths traumatic experiences before, during and even after leaving care contribute to toxic shame. A qualitative study in eThekwini obtained a multi-perspective on planning for transition and aftercare support through the perceptions of 16 youth transitioning/transitioned from residential care; their 10 family caregivers and 23 child and youth care workers, social workers, and managers,. The descriptive-interpretive design and thematically analyzed semi-structured interviews found trauma-induced toxic shame emerged from “shame-bound” experiences of child abuse, neglect, abandonment, poverty and/or being in care. Trauma-induced toxic shame is debilitating, self-perpetuating feelings of guilt, self-blame, worthlessness and inadequacy, stemming from traumatic experiences, profoundly impacting on mental health and wellbeing. Even amongst the most resilient youth, shame was internalized and became toxic. The persistent feelings of toxic shame manifested into self-destructive behaviour and mental and physical health problems, differently amongst the male and female youth. When left untreated, the extension into adulthood contributed to further deterioration. It may pass through generations, often, unspoken, undetected and not addressed. The youth were oblivious to parental shame related to family circumstances. Family caregivers’ shame intensified as they helplessly observed their children encounter similar experiences and vulnerabilities that they endured. The complex interplay between trauma, shame, and family dynamics impacts negatively on all facets of the youth and family caregivers lives including access to quality education, decent employment, and healthcare. In addressing trauma-induced toxic shame, parental shame and fostering resilience, children, youth and families can overcome adversity. Strategic trauma-informed care and therapy, strength based support and mentoring, education and vocational training, economic empowerment initiatives and family therapy are recommended for their holistic wellbeing. The discourse must advance policy and practice reform for management of trauma induced toxic shame as an obstacle for sustainable development.