Barriers and facilitators to implementation of trauma support services at a large HIV treatment center in the Southern United States
Bibliographic Data
| ID | 19442463 |
|---|---|
| Authors | Kaitlin N Piper (0000-0001-9422-1565, Emory University), Julia Schiff (0000-0002-0648-3491, Emory University), Clara Riddick (Emory University), Betelihem Getachew (Emory University), Eugene W Farber (0000-0003-4963-4808, Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, USA), Ameeta S Kalokhe (0000-0002-3556-1786, Emory University), Ameeta Kalokhe (Emory University), Jessica M Sales (0000-0002-1571-8192, Emory University, corresponding author) |
| Year | 2021 |
| Volume | 33 |
| Issue | 3 |
| Pages | 316-325 |
| Publication date | 2021-03-04 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | AIDS Care (JOURNAL) |
| Journal identifiers | ISSN: 0954-0121 • E-ISSN: 1360-0451 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/09540121.2020.1764473 |
| PMID | 32423225 |
| OpenAlex | W3027009589 |
| Language | EN |
| Citations received | 8 |
| References cited | 22 |
The high prevalence of trauma among people living with HIV underscore the need for tailored, integrated trauma management (“trauma-informed care” or TIC) to improve retention, adherence to care, and overall well-being. Although TIC has been identified as a priority area for HIV care, uptake has been limited. To investigate barriers and facilitators to integrating trauma support services within HIV primary care, surveys (n=94) and interviews (n=44) were administered to providers, staff, and patients at a large HIV treatment center. Results highlighted the availability of several trauma services, including psychotherapy and support groups, but also revealed the absence of provider training on how to respond to patient trauma needs. Identified gaps in TIC services included written safety and crisis prevention plans, patient education on traumatic stressors, and opportunities for creative expression. Providers and staff supported implementation of trauma support services and employee trainings, but expressed a number of concerns including resource and skill deficiencies. Patient-reported barriers to TIC services included lack of awareness of services and difficulties navigating the healthcare system. This assessment revealed support and methods for strengthening integration of trauma support services within HIV primary care, which future TIC implementation efforts should address
Family medicine · Health care · Medical emergency · Political science · Psychiatry · Stressor · Trauma center · Emergency and Acute Care Studies · HIV/AIDS Research and Interventions · Medicine · Migration, Health and Trauma · Nursing
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| Unique citing works | 8 |
|---|---|
| Citations per year | 2 |
| Citation span | 2022 - 2026 (5) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 7 |