Justice Involved
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.
Best Practices
- Center for Innovation and EngagementCollection of implementation guides on evidence-informed best practices in HIV care delivery.
- 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.
- IHIPThe 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 ProjectSSRP 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 CompilationLINK 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 EngagementPatient 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 CompilationThe 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 CompilationOne 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 EngagementUsing 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 CompilationThe 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 CompilationTransitional 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
- University of Washington
Online clinician training platform with evidence-based core competency training on HIV prevention, screening, diagnosis, care, and key populations.
- Yale University School of Medicine
Guide on how to implement an opt-out HIV testing program in a jail setting.
- NASTAD
Fact sheet on strategies for RWHAP Part B and ADAPs regarding the provision of services to justice-involved people with HIV.
- IHIP
Insights on ways that HIV care programs have improved health outcomes along the HIV care continuum.
- The HIV, Housing & Employment ProjectWebinars and briefs on delivery of HIV care to persons with unstable housing.
Training Modules
- IHIPTested resources for implementing jail linkage programs and assisting organizations in expanding their current jail work. Includes a manual, curriculum, fact sheets, and webinars.
- IHIP
Tools to help health care providers adapt SPNS models within their existing operations in order to better engage hard-to-reach people with HIV into care.
Webinars
- The Bronx Health and Housing Corporation
Webinar series on ways to improve HIV primary care patient outcomes for Latinos/as who are incarcerated or have a history of incarceration, with a case study sub-analysis of transnationalism among Puerto Ricans.