Trauma-Informed Care

Trauma-informed care involves adjustment of service delivery in order to accommodate the challenges faced by clients due to intimate partner violence, household dysfunction, and abuse connected with, for example, sexual and gender identity, gender, and race. Traumas can manifest physically, mentally, and/or behaviorally and can be addressed by services that help enhance engagement in HIV care.

Resources 16

Best Practices

  • Center for Innovation and Engagement
    Collection of implementation guides on evidence-informed best practices in HIV care delivery.
  • HRSA HIV/AIDS Bureau (HAB)

    Examination of potential areas for bi-directional sharing between the U.S. Ryan White HIV/AIDS Program (RWHAP) and the President’s Emergency Plan for AIDS Relief.

  • Best Practices Compilation
    To better integrate primary care with behavioral health services, providers were trained on trauma-informed care and contracts and standards of care were modified to require that medical providers conduct mental health screenings. As a result, receipt of mental health services and care retention rates improved.
  • Best Practices Compilation
    Cognitive Processing Therapy (CPT) is an evidence-based, cognitive behavioral treatment for posttraumatic stress disorder. Through individual or group sessions of CPT, clients learn to recognize and challenge unhelpful thoughts and beliefs related to trauma. Positive Impact Health Centers and Western North Carolina Community Health Services implemented CPT as part of E2i, an initiative funded by the RWHAP Part F SPNS program from 2017 to 2021. While not statistically significant, CPT participants had increased engagement in care and retention in care from enrollment to 12 months.
  • Best Practices Compilation
    Lehigh Valley Health Network Comprehensive Health Services implemented a trauma-informed approach to care delivery, including training staff on how trauma can affect people’s health and how microaggressions in healthcare environments can potentially trigger trauma responses. This approach positively impacted care delivery and the program’s retention in care rate.
  • Best Practices Compilation
    Extramural dental clinics implemented the medical home model, with integrated trauma-informed care, to expand oral health care services for people with HIV, and saw increases in referrals from partner organizations and the number of new clients.
  • Best Practices Compilation
    Seeking Safety helps people who have experienced trauma and/or substance use disorder gain safe coping skills through a flexible 12-session intervention. The University of California, San Diego Mother Child Adolescent HIV Program and the Multicultural AIDS Coalition implemented Seeking Safety as part of E2i, an initiative funded by the RWHAP Part F SPNS program from 2017–2021. Participants had higher rates of retention in care and viral suppression after 12 months of the intervention.
  • Evidence-Informed Interventions (E2i)
    Seeking Safety is an evidence-based coping skills intervention that helps people attain safety from trauma and/or addiction.
  • Center for Innovation and Engagement
    Description of a communication-centered approach to service delivery that provides a compassionate and supportive environment to promote intrinsic behavior change among youth 16 to 29 with newly diagnosed HIV.
  • Best Practices Compilation
    Trauma-Informed Approach & Coordinated HIV Assistance and Navigation for Growth and Empowerment (TIA/CHANGE) was developed by HIV experts in collaboration with community members to improve health outcomes among people with HIV. Using a strength-based approach to HIV service provision, TIA/CHANGE offers guidance and structure for an organization to become trauma-informed. TIA/CHANGE includes enrollment of clients in trauma-informed intensive case management services. The Alaska Native Tribal Health Consortium implemented TIA/CHANGE as part of E2i, an initiative funded by the RWHAP Part F SPNS program from 2017–2021. Among clients participating in TIA/CHANGE there were improvements in prescription of ART and viral suppression.
  • Evidence-Informed Interventions (E2i)
    TIA/CHANGE is an evidence-informed and resilience-focused intervention that provides guidance and structure for becoming a trauma-informed HIV service organization.

Resources

Webinars

Conference Presentations

Rutgers, The State University of NJ
Presenters:
Kimberly Deas, Thomas Hunt, Terri Lassiter, Shankar Srinivasan
2022 National Ryan White Conference on HIV Care & Treatment
Bennett Innovation Group L3c
Presenters:
Matt Bennett
2022 National Ryan White Conference on HIV Care & Treatment
Bennett Innovation Group L3c
Presenters:
Matt Bennett, Jeff Somers
2022 National Ryan White Conference on HIV Care & Treatment
HRSA
Presenters:
Corliss Heath, Alicia Downes, Judith Scott, Letitia Burr
2022 National Ryan White Conference on HIV Care & Treatment
HRSA
Presenters:
Heather Hauck, Alex Keuroghlian, Jill York, Larry Zayas Rivera, Harold Phillips
2022 National Ryan White Conference on HIV Care & Treatment

Technical Assistance

  • SPNS project evaluating interventions that seek to improve the well-being of RWHAP clients 50 and older. Project period: 2022-2025.
  • Design, implementation, and evaluation of bundled evidence–informed interventions for Black women with HIV. Project period: 2020-2024.
  • Initiative documenting best practice strategies and interventions that have been shown to improve HIV outcomes in a "real world" setting and can be replicated by other programs. Project period: 2021-2024.