1. USCA 2018
FIGHT BACK! FIGHT HIV!

2. What is Intersectionality?
A framework to understand the ways in which multiple identity axes such as class, sexual orientation, race and gender intersect and influence the well-being of individual.
crenshaw-intersectionality

3. UNITED STATES CONFERENCE ON AIDS
I am to share information and learning of new ways to approach our community who may currently living with HIV and/or AIDS with regards to historical trauma.

4. HISTORICAL TRUAMA
A set of events perpetrated on a group of people who share a specific group identity with genocidal or ethnocidal intent.
Often result in annihilation or disruption of traditional ways of like, culture and/or identity.

5. HISTORICAL TRAUMA
Trauma of these events is “embodied” or held personally and passed down over generations.
Often results in Higher Stress Vulnerability-impairing ability to cope effectively with stressors
Stressful environmental condition can leave an imprint or mark on epigenome (cellular material)
Psychological and nutritional stress during pregnancy can lead to biological changes predisposing children to negative health outcomes
Biological and psychological expression of historical trauma are likely contributors to current health disparities.

6. IMPACT OF HISTORICAL TRAUMA
Individual Level Impact
Symptoms of PTSD, survivor guilt, anxiety, anger, grief, depressive symptomology
Impaired communication
Substance abuse
Exaggerated personal attachments or independence.
Impaired self-esteem
Catastrophic Expectancy-preoccupation with death.

7. RACIAL MICROGRESSIONS
Chronic and commonplace daily verbal, behavioral or environmental indignities and injustice.
Intentional and unintentional
Communicate hostile, derogatory, demeaning, invalidating and/or negative slights and insults toward people (of color, homosexual individuals, incarcerated individuals, etc.)
These verbal and nonverbal encounters place the burden of addressing them on the recipient of the encounter-CREATING STRESS.
REMEMBER BOUNDARIES TRAINING – YES NO