Living in the Face of Trauma (LIFT): An Intervention for Coping With HIV and Trauma
Living in the Face of Trauma (LIFT): An Intervention for Coping With HIV and Trauma is a group intervention that focuses on improving the coping abilities of individuals--women of any sexual orientation and men who have sex with men--who have HIV and a history of childhood sexual abuse. LIFT promotes better health protective decisionmaking with the goals of reducing the symptoms of traumatic stress and the risk of transmitting HIV, as well as the risk for substance abuse, a common experience among these populations.
LIFT therapists use a cognitive behavioral approach to help clients develop and maintain healthy relationships and protective health behaviors such as substance use reduction, protected sexual intercourse, increased patient-provider communication, and HIV treatment adherence. Since a key element of the intervention is to provide a supportive and safe treatment environment, LIFT groups are composed of same-gender clients, usually with a similar sexual orientation. Significant time in each session is devoted to sharing personal experiences of HIV infection and childhood trauma, allowing clients to offer each other support and feedback. LIFT therapists guide clients in identifying traumatic stress parallels (e.g., feeling powerless) between their HIV diagnosis and childhood sexual abuse. Past and present coping methods such as alcohol and drug use are discussed with the group, and healthy coping strategies are offered and then practiced during group role-plays and as homework. LIFT is manual driven and consists of 15 90-minute sessions delivered weekly by two cotherapists to groups of about 10 clients each.
|Areas of Interest||
Mental health treatment
Substance use disorder prevention
1: Traumatic stress symptoms
2: HIV sexual risk behaviors
3: Substance use
Black or African American
Hispanic or Latino
|Implementation History||Since LIFT has been implemented with approximately 160 individuals in 3 sites in New York, Connecticut, and Illinois. Additional implementation sites in North Carolina and Illinois will serve up to 50 individuals.|
|NIH Funding/CER Studies||
Partially/fully funded by National Institutes of Health: Yes
Evaluated in comparative effectiveness research studies: Yes
|Adaptations||No population- or culture-specific adaptations of the intervention were identified by the developer.|
|Adverse Effects||No adverse effects, concerns, or unintended consequences were identified by the developer.|
|IOM Prevention Categories||Indicated|
Quality of Research
Readiness for Dissemination
The cost information below was provided by the developer. Although this cost information may have been updated by the developer since the time of review, it may not reflect the current costs or availability of items (including newly developed or discontinued items). The implementation point of contact can provide current information and discuss implementation requirements.