Women living with HIV/AIDS (WLWHA) in Baltimore experience disproportionately high rates of intimate partner violence (IPV), housing instability, and food insecurity, which adversely affect health outcomes. The Bartlett Bridges study is being implemented in partnership with the John G. Bartlett Infectious Diseases Specialty Practice (Bartlett Clinic) located at Johns Hopkins Hospital. The Bartlett Clinic provides comprehensive, compassionate and equitable services for infectious disease prevention, diagnosis and care. The study team will adapt and evaluate a trauma and violence-informed care (TVIC) intervention, called Confidentiality, Universal Education and Empowerment and Support (CUES), enhanced with the evidence-based myPlan safety planning app in the Bartlett Clinic to address IPV, health and safety in partnership with community organizations that provide advocacy, housing and social services. This hybrid effectiveness-implementation trial aims to improve HIV and mental health outcomes, increase safety, reduce health disparities, and identify implementation mechanisms to inform future scale-up and sustainability of the intervention in healthcare settings.
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Depression as assessed by the PROMIS Depression scale
Timeframe: Baseline, 6 and 12 months post baseline
HIV-related viral load
Timeframe: 12 months post baseline
PTSD Checklist (PCL-6)
Timeframe: Baseline, 6 and 12 months post-baseline
Retrospective HIV adherence
Timeframe: Baseline, 6 and 12 months post-baseline
HIV Adherence Self-Efficacy
Timeframe: Baseline, 6 and 12 months post-baseline