“…While research has explored care linkage and engagement for newly diagnosed adolescents, little work has examined adolescents’ HCT-related barriers. At the structural level, newly diagnosed adolescents struggle with HIV-related stigma(Fielden, Chapman, & Cadell, 2011), poverty(Kempf et al, 2010), housing(Gardner et al, 2009), insurance eligibility(Lillie-Blanton et al, 2010) and limited transportation options, factors that likely impact adolescents’ HCT(Kempf et al, 2010). Research from initial linkage and other chronic diseases suggests that HCT obstacles at the clinic level could include a lack of inter-clinic communication,(Gilliam et al, 2011) adolescent providers’ unwillingness to relinquish care,(Valenzuela et al, 2011) and adult providers’ limited adolescent-specific training(Reiss, Gibson, & Walker, 2005).…”