Adolescent Perceptions of Organizational Trauma Resilience in an HIV Clinic: A Convergent Parallel Mixed Methods Design Study.

BackgroundShelby County, Tennessee (Memphis) has the highest rate of HIV incidence in the country, and youth in the region are disproportionately impacted. Local plans to end the epidemic call for implementation of trauma-informed care (TIC).MethodsWe conducted a convergent parallel mixed methods study, including interviews and surveys, with adolescents receiving care in a youth-focused HIV clinic in Memphis.ResultsAlmost half (47%) of participants met the criteria for probable PTSD, with 30% meeting criteria for provisional PTSD. Participants reported the clinic was aligned with TIC principles (i.e., sense of trust, support, collaboration, safety, and inclusivity) and unanimously voiced support for integration of trauma screenings and assessments. Important recommendations were also raised for implementation, with attention to cultural responsiveness and peer support.ConclusionsFindings show a positive perception of the clinic. Follow-up research will be used to inform the development of a trauma-focused intervention to influence HIV health outcomes.