Barriers and facilitators to implementation of trauma support services at a large HIV treatment center in the Southern United States

Datos Bibliográficos

ID19442463
AutoresKaitlin 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, autor de correspondencia)
Año2021
Volumen33
Número3
Páginas316-325
Fecha de publicación2021-03-04
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaAIDS Care (JOURNAL)
Identificadores de la revistaISSN: 0954-0121 • E-ISSN: 1360-0451
EditorialInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540121.2020.1764473
PMID32423225
OpenAlexW3027009589
IdiomaEN
Citas recibidas8
Referencias citadas22

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