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Publication Profiles

Process Mapping to inform implementation of Trauma-Informed Care for youth aged 14-24 with HIV in the Southern United States

Citation

Brown LL, Wilkins ML, Pichon LC, et al. Process Mapping to inform implementation of Trauma-Informed Care for youth aged 14-24 with HIV in the Southern United States. Res Sq. 2023:rs.3.rs-3234952. doi:10.21203/rs.3.rs-3234952/v1

Implementation stage:

Pre-Implementation

Implementation outcomes reported:

Not applicable

Continuum target addressed:

Engagement in treatment (including retention and re-engagement), Linkage to HIV care

Geography:

Non-priority jurisdiction

Study Participant Classification:

Recipients of care, Providers

Plain Language Objectives

The researchers developed a mapping process to show how a pediatric HIV clinic currently addressed trauma and identify gaps that should be considered before introducing more systematic trauma-informed care.

Plain Language Abstract

Trauma-informed care aims to recognize trauma and provide services that promote safety and avoid further harm. Researchers combined trauma-informed principles with a five-phase process-mapping method and applied it in a pediatric HIV clinic in a southern United States city. The mapping examined current practice across trauma-responsive services; inclusivity, safety, and wellness; workforce training and support; and cultural responsiveness. The clinic had limited and inconsistent trauma screening, assessment, and intervention. It also had limited processes for supporting staff well-being or gathering and using patients’ experiences and preferences. Researchers found no ongoing workforce training in trauma-responsive care and no clinic-specific efforts addressing diversity, equity, and inclusion for patients and personnel. This was a pre-implementation case study that mapped baseline systems; it did not implement or test trauma-informed care. The authors concluded that the method can identify local gaps and guide context-specific implementation, although its usefulness in other settings still needs evaluation.

Key Takeaways

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