# Clinic-Community Bridge-to-Care Initiative: Trauma and Violence Informed Care (TVIC) with Women Survivors of Intimate Partner Violence (IPV) and Living with HIV/AIDS

> **NIH NIH R01** · JOHNS HOPKINS UNIVERSITY · 2024 · $1,466,637

## Abstract

Abstract
Johns Hopkins John G. Bartlett Specialty Practice (JGBSP) and Johns Hopkins HIV Women's Health Program
(JHHWHP) provides comprehensive HIV care and treatment to women (85% Black/African American) living
with HIV/AIDS in Baltimore. The network of Hopkins clinicians practicing in JGBSP and JHHWHP (called the
Hopkins HIV Collaborative) identify multiple complex unmet health and social issues daily, such as intimate
partner violence (IPV), housing instability and food insecurity that negatively impacts the health of women in
their care. The intersection of IPV, poor mental health, housing instability and food insecurity are associated
with suboptimal HIV prevention and treatment outcomes, such as antiretroviral therapy failure and unsafe
sexual practices. Approaches to IPV and social determinants of health in healthcare organizations are evolving
from interventions that targets the woman’s behavior (”she should leave the abuser”) to interventions that
partner with community organizations to address IPV as a pervasive health and social problem embedded in
structural inequities. Hopkins HIV Collaborative and Hopkins School of Nursing in partnership with community
organizations, House of Ruth, Maryland (HRM), Technical Assistance Collaborative (TAC) and Older Women
Embracing Life (OWEL) and expert Advisory Board will adapt and implement a trauma and violence informed
care (TVIC) intervention to improve HIV-related and mental outcomes by addressing social determinants of
health with abused women living with HIV/AIDS (WLWHA). TVIC is an equity-based approach guided by the
ecological framework to account for the intersecting impacts of HIV, IPV and structural inequities on a woman’s
life. The TVIC intervention includes: (1) universal education to create a safe environment in the healthcare
setting for IPV disclosure; (2) counseling and advocacy based on women strengths and priorities; (3)
coordination with community partners to address unmet social determinant of health; and 4) integration of
technology-facilitated safety planning (myPlan app) for clinic-community providers to support abused WLWHA
to develop personalize safety plans that directly link to needed local services. The clinic-community partners
will conduct a hybrid type 2 effectiveness-implementation study to determine the effectiveness of the adapted
TVIC intervention on HIV-related (e.g. viral load/CD4 and adherence) and mental health (e.g. depression and
PTSD) outcomes with IPV(+) WLWHA and IPV (–) WLWHA. The partners will also examine mechanisms (e.g.,
safety behaviors and resources, housing security, food security) by which the TVIC intervention improves HIV-
related and mental health outcomes with abused WLWHA. Our partnership will further examine organizational,
program and contextual factors that facilitate the implementation of the TVIC intervention and are critical to
sustaining the intervention and clinic-community based partnerships.

## Key facts

- **NIH application ID:** 11060383
- **Project number:** 1R01NR021528-01
- **Recipient organization:** JOHNS HOPKINS UNIVERSITY
- **Principal Investigator:** NANCY E GLASS
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2024
- **Award amount:** $1,466,637
- **Award type:** 1
- **Project period:** 2024-09-19 → 2026-08-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/11060383

## Citation

> US National Institutes of Health, RePORTER application 11060383, Clinic-Community Bridge-to-Care Initiative: Trauma and Violence Informed Care (TVIC) with Women Survivors of Intimate Partner Violence (IPV) and Living with HIV/AIDS (1R01NR021528-01). Retrieved via AI Analytics 2026-05-27 from https://api.ai-analytics.org/grant/nih/11060383. Licensed CC0.

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