Incarcerated

In the U.S., several million individuals are incarcerated at any given time, both in prisons for longer terms and in jails for shorter stays. Many individuals who pass through the corrections system engage in high-risk behaviors, prior to incarceration and while in the system. Mental health and substance abuse challenges are particularly high among this population.

Resources 27

Best Practices

  • Center for Innovation and Engagement
    Collection of implementation guides on evidence-informed best practices in HIV care delivery.
  • Dissemination of Evidence Informed-Interventions Project (DEII)

    Evidence-informed HIV care interventions (jail transitional care, buprenorphine, patient navigation, peer support for women of color).

  • AIDS Action Foundation

    Workbooks describing ways to help connect people living with HIV/AIDS to medical care. Estos cuadernos describen la manera de asistir a conectar personas que viven con VIH/SIDA con el sistema médico.  

  • IHIP
    The Maricopa County Jail Project was implemented by five jails and uses a nurse practitioner to manage service access and case management across the jail system.
  • SPNS Latino Access Initiative, UCSF Center for AIDS Prevention Studies

    Monographs describing interventions for the engagement and retention of Latinos in HIV care.

  • HRSA HIV/AIDS Bureau (HAB)

    Report reviews activities under a HRSA/CDC funded SPNS Initiative to support demonstration projects within correctional facilities and communities that develop models of comprehensive surveillance, prevention, and health care activities for HIV, STIs, TB, substance abuse, and hepatitis.

  • The HIV, Housing & Employment Project
    SSRP is a client, provider, and system levels intervention to rapidly connect PLWH recently released from jail/prison to medical, housing, and employment services using a Peer Community Reengagement Specialist model.
  • Best Practices Compilation
    LINK LA is a 12-session, 24-week peer navigation intervention for people with HIV who are scheduled to be released from incarceration. LINK LA peer navigators focus on behavioral changes that promote medication adherence and retention in care, while providing social support and facilitating communication with medical providers. LINK LA showed improvements in linkage to and retention in HIV care and viral suppression among people with HIV re-entering the community after incarceration.
  • Center for Innovation and Engagement
    Patient navigation-enhanced case management intervention that improved linkage and retention in HIV care among people with HIV who were leaving jail to return to the community.
  • Best Practices Compilation
    The Navigator Case Management intervention helps people with HIV who are incarcerated and are leaving to return to the community. The intervention uses harm reduction, case management, and motivational interviewing techniques to promote healthy behaviors. Enhanced case management including peer support and connection to other needed services both immediately before and after release supports increased linkage to and retention in HIV care for people transitioning to the community from jail.
  • Best Practices Compilation
    One Stop Career Center of Puerto Rico (OSCC-PR) implemented Pay it Forward to increase workforce capacity to connect Puerto Ricans with HIV to community-based HIV care and social supports following release from jail. Pay it Forward included training of OSCC-PR staff in the Transitional Care Coordination model. Eighty percent of clients who were supported by Pay it Forward in Puerto Rico were still in HIV care 12 months after release.
  • Center for Innovation and Engagement
    Using a client-focused, personalized, Incremental Risk Reduction approach, the Project START intervention improves linkage and retention in care among people with HIV who are leaving correctional facilities to return to the community.
  • Best Practices Compilation
    The Maricopa Jail Project was implemented by five jails to decrease the wait time between incarceration and/or diagnosis to the start of treatment, and to better support clients to reach viral suppression. Maricopa hired a nurse practitioner to manage access and case manage across the jail system. The initiative was successful in increasing the number of clients who were virally suppressed.
  • Best Practices Compilation
    Transitional Care Coordination (TCC) connects people with HIV who are incarcerated with a transitional care coordinator to facilitate access to HIV primary care and other community-based services and supports, following their transition from jail back to the community. TCC aims to establish vital linkages between jail-based and community-based HIV care, and may be implemented by community-based organizations, clinics, health departments, or jails.
  • Dissemination of Evidence Informed-Interventions Project (DEII)
    Transitional care coordination intervention informed and adapted from the best practice findings of a past SPNS initiative that yielded successful HIV care continuum outcomes among client participants.

Resources

Training Modules

Webinars

Conference Presentations

Meharry Community Wellness Center
Presenters:
Vladimir Berthaud, Michael Caldwell, Livette Johnson, Toni Hall
2022 National Ryan White Conference on HIV Care & Treatment
Baltimore City Health Department
Presenters:
Victoria Cargill, Amit Chattopadhyay, Ricky Moyd, Jr
2022 National Ryan White Conference on HIV Care & Treatment
Abt Associates
Presenters:
Hannah Bryant, Claire Farel, Cheryl Betteridge-Giove
2020 National Ryan White Conference on HIV Care & Treatment
AIDS Foundation of Chicago
Presenters:
2020 National Ryan White Conference on HIV Care & Treatment
AIDS Foundation of Chicago
Presenters:
2020 National Ryan White Conference on HIV Care & Treatment

Technical Assistance

  • Initiative documenting best practice strategies and interventions that have been shown to improve HIV outcomes in a "real world" setting and can be replicated by other programs. Project period: 2021-2024.
  • HRSA SPNS project applying the implementation science framework to identify innovative HIV interventions for three priority populations (people with substance use disorder, sexual minority youth, people involved in criminal justice system) and use of telehealth. Project period: 2021-2025.