#11401. Experiences with a violence and mental health safety protocol for a randomized controlled trial to support youth living with HIV

July 2026publication date
Proposal available till 17-05-2025
4 total number of authors per manuscript0 $

The title of the journal is available only for the authors who have already paid for
Journal’s subject area:
Health (social science);
Health Policy;
Public Health, Environmental and Occupational Health;
Epidemiology;
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More details about the manuscript: Science Citation Index Expanded or/and Social Sciences Citation Index
Abstract:
Safety protocols are an essential component of studies addressing violence and mental health but are rarely described in the published literature. We designed and implemented a safety protocol within Project YES! (Youth Engaging for Success), which enrolled 276 youth living with HIV (ages 15–24 years) in a randomized controlled trial of a peer-mentoring intervention across four HIV clinics. Nearly half of youth enrolled (48% of females, 41% of males) were referred to a HCP at least once. The safety protocol helped HCP recognize the need to integrate care for violence and mental health with medication adherence support. HCP, YPM, and study staff raised implementation challenges, including youth choosing not to open up to HCP, time and resource constraints, deficiencies in HCP training, and stigma and cultural norms inhibiting referrals outside the clinic for emotional trauma and mental health. Implementing a safety protocol within an HIV clinic-based research study is possible and beneficial for youth and HCP alike. Innovative strategies must address deficiencies in training and resources within HIV clinics and gaps in coordination across services to meet the overwhelming need for violence and mental health services among youth living with HIV.
Keywords:
HIV; Mental health; Referral; Safety protocol; Violence; Youth

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