Barriers and facilitators to implementation of trauma support services at a large HIV treatment center in the Southern United States
| العنوان: | Barriers and facilitators to implementation of trauma support services at a large HIV treatment center in the Southern United States |
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| المؤلفون: | Kaitlin N. Piper, Betelihem Getachew, Eugene W. Farber, Clara Riddick, Julia Schiff, Ameeta S. Kalokhe, Jessica M. Sales |
| المصدر: | AIDS Care |
| بيانات النشر: | Informa UK Limited, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Adult, Male, Stress Disorders, Traumatic, medicine.medical_specialty, Health (social science), Social Psychology, Anti-HIV Agents, Human immunodeficiency virus (HIV), HIV Infections, medicine.disease_cause, Article, Health Services Accessibility, Interviews as Topic, 03 medical and health sciences, 0302 clinical medicine, Acquired immunodeficiency syndrome (AIDS), Trauma management, Surveys and Questionnaires, medicine, Humans, Center (algebra and category theory), 030212 general & internal medicine, Hiv treatment, Qualitative Research, Support services, 030505 public health, High prevalence, Primary Health Care, Delivery of Health Care, Integrated, business.industry, Public Health, Environmental and Occupational Health, Social Support, Middle Aged, medicine.disease, United States, Family medicine, Female, 0305 other medical science, business, Delivery of Health Care |
| الوصف: | 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. |
| تدمد: | 1360-0451 0954-0121 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::ef79c96bf3af8ec047b6d52764189cb7 https://doi.org/10.1080/09540121.2020.1764473 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....ef79c96bf3af8ec047b6d52764189cb7 |
| قاعدة البيانات: | OpenAIRE |
PDF full text from Publisher | تدمد: | 13600451 09540121 |
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