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Explore our cutting edge research, world-class patient care, career opportunities and more.
St. Jude Children's Research Hospital Home
Implementing trauma-informed care in a hospital setting for youth living with HIV
For youth with HIV, learning how to manage a chronic condition with strong social stigma presents challenges that can impact mental health. As a pediatric psychologist committed to the HIV service at St. Jude, my goal is to provide comprehensive mental health services to youth with HIV who receive care at our clinic.
My clinical research efforts focus on learning how to optimize treatment and aid adjustment to HIV by incorporating trauma informed principles into the provision of healthcare for youth with HIV. The goal is to provide responsive and optimal psychological services alongside HIV medical care: a model of integrated care that can be shared throughout, and beyond, St. Jude to benefit all youth with HIV.
My research spans different areas related to the lived experiences and psychosocial functioning of youth with HIV, including both independent research efforts and participation and engagement in national consortia and multisite collaborative studies.
My primary focus is the implementation of trauma-informed care for youth with HIV in Memphis, Tennessee, USA. The unique needs of this diverse and resilient patient population require care approaches that recognize the complexities of a person and the impact of trauma on a person’s well-being, as well as work to resist retraumatizing youth and provide meaningful support to staff who provide care in these spaces. In youth with HIV, implementing such a trauma-informed approach is integral to providing responsive and effective HIV care.
While there have been many advancements in availability of antiretroviral therapies for youth in resource-rich settings, research has been mixed regarding the impact of HIV exposure and treatment on cognitive, behavioral and emotional development. As the site psychologist for the Pediatric HIV/AIDS Cohort Study (PHACS), my work as part of the Neurodevelopment (ND) Working Group for these studies investigated cognitive, behavioral, adaptive and academic outcomes in youth with HIV exposure and youth with HIV and their caregivers. Working with collaborators from the International Maternal Pediatric Adolescent AIDS Clinical Trial (IMPAACT) network, I also contributed to projects investigating the impact of HIV reservoirs on cognitive functioning and the efficacy of a combined medication and psychotherapy intervention to improve depressive outcomes in youth with HIV.
Across all the efforts to improve care and treatment for youth with HIV, I strive to combine novel and responsive research methodology and in-depth clinical expertise to advance our understanding and care of psychosocial functioning in youth with HIV in Memphis and beyond.
Dr. Megan Wilkins is a pediatric psychologist dedicated to providing psychological services to youth who receive care for HIV at St. Jude. Dr. Wilkins has been a member of the HIV service at St. Jude since she completed her post-doctoral fellowship at St. Jude. Prior to coming to St. Jude, she earned a PhD in school psychology at the University of South Carolina. Her clinical research experience has continually focused on providing mental health supports to youth with HIV. With a background in research methodology combined with her clinical expertise, Dr. Wilkins is leading efforts to expand and implement trauma-informed care for patients with HIV at St. Jude.
Megan Wilkins, PhD
Associate Member
Department of Psychology & Biobehavioral Sciences
MS 230, Room O5021A
St. Jude Children's Research Hospital