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

25/09/2026

AI Summary

High prevalence of trauma: 47% probable PTSD, 30% provisional PTSD among adolescents in the Memphis youth HIV clinic.
Clinic aligns with trauma-informed care principles: trust, support, collaboration, safety and inclusivity; participants support trauma screenings and assessments.
Participants recommended culturally responsive implementation and peer support; follow-up research to develop trauma-focused intervention to improve HIV outcomes.

TL;DR (AI Generated)

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.

Follow-up research will be used to inform the development of a trauma-focused intervention to influence HIV health outcomes.

Basic summary

J Int Assoc Provid AIDS Care. 2026 Jan-Dec;25:23259582261491787. doi: 10.1177/23259582261491787. Epub 2026 Sep 24.

ABSTRACT

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.

PMID:42784416 | DOI:10.1177/23259582261491787

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