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Differences in trauma-informed care implementation by clinic-level factors across Ryan White HIV clinics in the Southeastern United States.

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Title: Differences in trauma-informed care implementation by clinic-level factors across Ryan White HIV clinics in the Southeastern United States.
Authors: Kalokhe, Ameeta S., Adam, Elizabeth, Colasanti, Jonathan, Livingston III, Melvin, Root, Chris, Sales, Jessica M.
Source: AIDS Care. Feb2023, Vol. 35 Issue 2, p222-229. 8p. 3 Charts, 1 Graph.
Subjects: Social support, Patient-centered care, Surveys, Labor supply, Research funding, Descriptive statistics, Interprofessional relations, Wounds & injuries, Patient safety, Psychology of HIV-positive persons
Geographic Terms: United States
Abstract: Trauma is common among people with HIV (PWH) and associated with low HIV care engagement, thus trauma-informed care (TIC) integration within HIV services is critical. From December 2019 to April 2020, we conducted surveys with 321 administrators, providers, and staff of 46 Ryan White HIV clinics (RWCs) in 8 Southeastern U.S. states to assess level of TIC implementation and clinic-level factors associated with TIC adoption. The mean score for TIC implementation was highest for the Physical Environment domain (μ = 4.08, SE = 0.07), followed by Screening, Assessment, and Treatment Services (μ = 3.96, SE = 0.07), Cross-sector Collaboration (μ = 3.75, SE = 0.08), Engagement and Involvement (μ = 3.92, SE = 0.09); and Training and Workforce Development (μ = 3.54, SE = 0.12). Greatest gaps were in staff TIC training, staff support, presence of onsite legal, spiritual, and housing services, and seeking patients' definitions of safety and developing their individualized crisis/safety plans. Across most TIC implementation domains, clinic type, urbanicity, academic affiliation, and presence of onsite psychosocial support services were associated with level of TIC adoption. Thus, RWCs have the necessary foundation to integrate TIC practices, but further progress will require addressing identified gaps. The overall lack of significant difference in TIC implementation across domains by clinic-level factors suggests that a RW network-wide approach to enhancing TIC integration is feasible. [ABSTRACT FROM AUTHOR]
Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Differences in trauma-informed care implementation by clinic-level factors across Ryan White HIV clinics in the Southeastern United States.
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  Data: <searchLink fieldCode="AR" term="%22Kalokhe%2C+Ameeta+S%2E%22">Kalokhe, Ameeta S.</searchLink><br /><searchLink fieldCode="AR" term="%22Adam%2C+Elizabeth%22">Adam, Elizabeth</searchLink><br /><searchLink fieldCode="AR" term="%22Colasanti%2C+Jonathan%22">Colasanti, Jonathan</searchLink><br /><searchLink fieldCode="AR" term="%22Livingston+III%2C+Melvin%22">Livingston III, Melvin</searchLink><br /><searchLink fieldCode="AR" term="%22Root%2C+Chris%22">Root, Chris</searchLink><br /><searchLink fieldCode="AR" term="%22Sales%2C+Jessica+M%2E%22">Sales, Jessica M.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22AIDS+Care%22">AIDS Care</searchLink>. Feb2023, Vol. 35 Issue 2, p222-229. 8p. 3 Charts, 1 Graph.
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  Data: <searchLink fieldCode="DE" term="%22Social+support%22">Social support</searchLink><br /><searchLink fieldCode="DE" term="%22Patient-centered+care%22">Patient-centered care</searchLink><br /><searchLink fieldCode="DE" term="%22Surveys%22">Surveys</searchLink><br /><searchLink fieldCode="DE" term="%22Labor+supply%22">Labor supply</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Interprofessional+relations%22">Interprofessional relations</searchLink><br /><searchLink fieldCode="DE" term="%22Wounds+%26+injuries%22">Wounds & injuries</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+safety%22">Patient safety</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+of+HIV-positive+persons%22">Psychology of HIV-positive persons</searchLink>
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  Label: Abstract
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  Data: Trauma is common among people with HIV (PWH) and associated with low HIV care engagement, thus trauma-informed care (TIC) integration within HIV services is critical. From December 2019 to April 2020, we conducted surveys with 321 administrators, providers, and staff of 46 Ryan White HIV clinics (RWCs) in 8 Southeastern U.S. states to assess level of TIC implementation and clinic-level factors associated with TIC adoption. The mean score for TIC implementation was highest for the Physical Environment domain (μ = 4.08, SE = 0.07), followed by Screening, Assessment, and Treatment Services (μ = 3.96, SE = 0.07), Cross-sector Collaboration (μ = 3.75, SE = 0.08), Engagement and Involvement (μ = 3.92, SE = 0.09); and Training and Workforce Development (μ = 3.54, SE = 0.12). Greatest gaps were in staff TIC training, staff support, presence of onsite legal, spiritual, and housing services, and seeking patients' definitions of safety and developing their individualized crisis/safety plans. Across most TIC implementation domains, clinic type, urbanicity, academic affiliation, and presence of onsite psychosocial support services were associated with level of TIC adoption. Thus, RWCs have the necessary foundation to integrate TIC practices, but further progress will require addressing identified gaps. The overall lack of significant difference in TIC implementation across domains by clinic-level factors suggests that a RW network-wide approach to enhancing TIC integration is feasible. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=162671049
RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1080/09540121.2022.2124225
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      – Code: eng
        Text: English
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        PageCount: 8
        StartPage: 222
    Subjects:
      – SubjectFull: Social support
        Type: general
      – SubjectFull: Patient-centered care
        Type: general
      – SubjectFull: Surveys
        Type: general
      – SubjectFull: Labor supply
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Interprofessional relations
        Type: general
      – SubjectFull: Wounds & injuries
        Type: general
      – SubjectFull: Patient safety
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      – SubjectFull: Psychology of HIV-positive persons
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      – SubjectFull: United States
        Type: general
    Titles:
      – TitleFull: Differences in trauma-informed care implementation by clinic-level factors across Ryan White HIV clinics in the Southeastern United States.
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            NameFull: Kalokhe, Ameeta S.
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            NameFull: Adam, Elizabeth
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            NameFull: Colasanti, Jonathan
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            NameFull: Livingston III, Melvin
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            NameFull: Root, Chris
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              M: 02
              Text: Feb2023
              Type: published
              Y: 2023
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