Pre-implementation Stage Research to Guide Trauma-Informed Care for Youth With HIV in the Southern US: A Multimethod Study
Abstract
Background: Youth with HIV disproportionately experience psychological trauma, but implementation methods for trauma-informed care are lacking. Methods: To identify potential processes and determinants of trauma-informed care implementation, we conducted process mapping and qualitative interviews and thematically applied the organizational trauma resilience framework to elicit perceived safety, stability, and nurturance in a pediatric HIV clinic. Results: Forty-three personnel and 8 patient representatives engaged in process mapping; 20 completed qualitative interviews. Clinic culture was described as supportive, cohesive, and equity-focused, but requiring workflow improvements for patient autonomy. Trauma screening, assessment, and interventions were limited/inconsistently applied, with duplicative risk assessments. Support for professional quality of life was limited, despite burnout/attrition reports. Some personnel had trauma-focused training, but ongoing education and culturally responsive policies were needed. Conclusions: Process mapping presented as a low-burden tool for unveiling gaps and care standards; alongside qualitative interviews, these methods provided practical insights for trauma-informed HIV care.
Publication Title
Journal of the International Association of Providers of AIDS Care
Recommended Citation
Brown, L., Wilkins, M., Pichon, L., Stewart, J., McLean, R., Sales, J., Audet, C., Hill, S., & Pettit, A. (2025). Pre-implementation Stage Research to Guide Trauma-Informed Care for Youth With HIV in the Southern US: A Multimethod Study. Journal of the International Association of Providers of AIDS Care, 24 https://doi.org/10.1177/23259582251382269
