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Peer-reviewedCC BY-NC 4.0Journal of the International Association of Providers of AIDS Care

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

  • Leslie Lauren Brown1,2
  • Jamie Linn Stewart2
  • Almariana Jessica Acuña2
  • Dasanae Davis3
  • April Christine Pettit1
  • Nehali D. Patel4
  • Latrice Crystal Pichon3
  • Megan Leigh Wilkins4
4 affiliations
  1. 1Vanderbilt University Medical Center, Division of Infectious Diseases & Department of Health Policy, Nashville, TN, USA
  2. 2Meharry Medical College, Family and Community Medicine, Nashville, TN, USA
  3. 3University of Memphis, School of Public Health, Division of Social and Behavioral Sciences, Memphis, TN, USA
  4. 4St. Jude Children’s Research Hospital, Departments of Infectious Diseases and Psychology and Biobehavioral Sciences, Memphis, TN, USA
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Abstract

Background: Shelby 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).

Methods: We conducted a convergent parallel mixed methods study, including interviews and surveys, with adolescents receiving care in a youth-focused HIV clinic in Memphis.

Results: Almost 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.

Conclusions: Findings 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.

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Cite

BibTeXRIS
BibTeX
@article{brown2026adolescent,
  title = {{Adolescent Perceptions of Organizational Trauma Resilience in an HIV Clinic: A Convergent Parallel Mixed Methods Design Study}},
  author = {Leslie Lauren Brown and Jamie Linn Stewart and Almariana Jessica Acuña and Dasanae Davis and April Christine Pettit and Nehali D. Patel and Latrice Crystal Pichon and Megan Leigh Wilkins},
  journal = {Journal of the International Association of Providers of AIDS Care},
  year = {2026},
  month = sep,
  doi = {10.1177/23259582261491787},
  url = {https://doi.org/10.1177/23259582261491787},
  note = {CC BY-NC 4.0},
}
RIS
TY  - JOUR
TI  - Adolescent Perceptions of Organizational Trauma Resilience in an HIV Clinic: A Convergent Parallel Mixed Methods Design Study
AU  - Leslie Lauren Brown
AU  - Jamie Linn Stewart
AU  - Almariana Jessica Acuña
AU  - Dasanae Davis
AU  - April Christine Pettit
AU  - Nehali D. Patel
AU  - Latrice Crystal Pichon
AU  - Megan Leigh Wilkins
PY  - 2026
DA  - 2026/09/24
JO  - Journal of the International Association of Providers of AIDS Care
DO  - 10.1177/23259582261491787
UR  - https://doi.org/10.1177/23259582261491787
AB  - Background: Shelby 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).  Methods: We conducted a convergent parallel mixed methods study, including interviews and surveys, with adolescents receiving care in a youth-focused HIV clinic in Memphis.  Results: Almost 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.  Conclusions: Findings 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.
SN  - 2325-9574
SN  - 2325-9582
ER  -