A brief, trauma-informed intervention is feasible and acceptable, increases safety behaviour, and reduces HIV risk among drug-involved women who trade sex M. Decker1, C. Tomko1, E. Wingo1, S. Peitzmeier1, A. Sawyer2, N. Glass3, S. Sherman1, A. Wirtz1 1Johns Hopkins Bloomberg School of Public Health 2Baltimore City Health Department 3Johns Hopkins School of Nursing With support from the Johns Hopkins University Center for AIDS Research (1P30AI094189).

INSPIRE: Integrating Safety Promotion with HIV Risk Reduction Goal: integrate violence support within HIV outreach to address trauma-related barriers to HIV prevention Develop a brief, trauma-informed intervention through community-based participatory process Pilot intervention for feasibility, acceptability and impact Brief, semi-structured dialogue implemented by trained advocates via a mobile support van in Baltimore, MD Evaluated via quasi-experimental, single group pretest-posttest design (baseline n=60; n=39 at 10-12 week follow-up)

Key results and implications INSPIRE was welcomed and acceptable by sex workers and implementers At follow-up, improvements in Safety behavior Knowledge and use of violence support services HIV risk reduction reduced sex under the influence and avoidance of condom negotiations Responding to trauma-related barriers to HIV prevention is feasible using existing infrastructure!