Support for Trauma-informed Care Implementation Among Ryan White HIV Clinics in the Southeastern United States

Trauma histories are common among people with HIV and associated with poor HIV outcomes, underscoring the importance of integrating trauma-informed care (TIC) into HIV services. As part of the quantitative phase of an explanatory sequential mixed-methods study, we assessed individual and clinic-wide...

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Bibliographic Details
Published in:AIDS and behavior 2023-03, Vol.27 (3), p.939-947
Main Authors: AS, Kalokhe, Adam, E, Livingston, M, Root, C, Sales, JM
Format: Article
Language:English
Subjects:
Ambulatory Care Facilities
Bivariate analysis
Burnout
Clinics
Culture
Disease management
Health care access
Health Psychology
HIV
HIV Infections
Human immunodeficiency virus
Humans
Infectious Diseases
Leadership
Low income groups
Medicine
Medicine & Public Health
Mental health care
Original Paper
Public Health
Resource availability
Southeastern United States
Trauma
Value
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Summary:Trauma histories are common among people with HIV and associated with poor HIV outcomes, underscoring the importance of integrating trauma-informed care (TIC) into HIV services. As part of the quantitative phase of an explanatory sequential mixed-methods study, we assessed individual and clinic-wide support (using the Attitudes Related to Trauma-informed Care-45 (ARTIC-45)) and factors influencing TIC support through surveys with 152 administrators, providers, and staff from 38 Ryan White Clinics (RWCs) in the Southeastern US. Mean responses to the ARTIC-45 Personal and System Support Subscales were 5.18 (SE = 0.09; range 1–7) and 4.45 (SE = 0.16; range 1–7), respectively. In bivariate analysis, higher personal and system support were associated with strong clinic leadership culture (personal support: β = 0.08, t-value = 2.66, p = 0.009; system support: β = 0.16, t-value = 4.71, p 
ISSN:1090-7165
1573-3254
DOI:10.1007/s10461-022-03830-2