Grants
for this initiative were awarded
to the applicants listed below.
The
abstracts provide both contact
information and a brief description
of their project. These grantees
were funded from 2007-2011.
AID
Atlanta, Inc.
Enhanced
Care for HIV+ Jail Releasees
The
primary purpose of this Correctional
Demonstration Project (CDP) is
to improve the health and overall
quality of life of jailed inmates
about to be released to the community.
Targeting HIV+ substance abusing
men of the metro Atlanta area,
starting November 2007, this program
will strategically provide comprehensive
healthcare, enhanced case management,
substance abuse treatment and
prevention education relative
to HIV/AIDS and STDs. An assessment
of need revealed that HIV disproportionately
affects inmates; inmates are more
than likely to be substance abusers,
negatively impacting health outcomes;
and there is not a sufficient
amount of services to meet the
health needs nor the substance
abuse treatment needs of this
population.
AID
Atlanta proposes to develop and
implement a project that will
(1) increase the medical treatment
adherence rate of HIV+ releasees
by immediately linking them to
primary care while also providing
coordinated services including
enhanced case management, inpatient
and outpatient substance abuse
treatment, housing, and other
supportive services; and (2) decrease
the rate of inmate recidivism
by addressing the underlying factors
that cause individuals to be repeat
offenders, including treatment
of substance abuse, providing
intensive support and guidance
to assist clients in leading healthier
lives and making healthier choices,
and providing necessary life coaching,
prevention education, self esteem
building and empowerment opportunities
to affect behavioral change.
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Care
Alliance Health Center
Enhancing Linkages to
HIV Primary Care & Services
in Jail Settings
Demonstration Models
Care
Alliance proposes to identify
HIV-infected individuals in the
County and City jails through
pre-release testing, counseling
and case management; to provide
health care services to those
already diagnosed with HIV and
in the jail system; to ensure
linkages to care following release
from jail; and to provide support
services upon release from the
correctional facilities and entrance
back into the community.
Care
Alliance plans to target inmates
that are known to be HIV-positive
and test those pre-release inmates
who are within the two jails at
the Cuyahoga County Corrections
Center. The targeted populations
include substance abusers, commercial
sex workers, and other individuals
being held and/or pre-released
from County and City jails.
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AIDS
Care Group
Demonstration Model
of Innovations in Prisoner Release
The
AIDS Care Group will initiate
a Demonstration Model of Innovations
in Prisoner Release and will utilize
deployed case management, outreach,
transportation, food, shelter,
phone cards, and clothing to insure
for each targeted client appropriate
and timely linkages into clinical
care and social services; seamless
reintegration into the community;
adherence to HIV medical care;
and commitment to risk and harm
reduction behaviors. Within 4
months current staff with considerable
experience in prison systems,
HIV medical care, case management,
psychiatry, psychosocial services,
and HIV education, counseling
and testing will coordinate services
with five Pennsylvania county
jails to reach prisoners before
discharge and to effectively plan
for and carry out comprehensive
discharge and reintegration activities.
The
AIDS Care Group plans to develop
an innovative and replicable model
of HIV education and services
within five Pennsylvania county
jails, and make discharge planning
and reintegration identifiable
and structured programs that address
all current barriers to clinical
and social services for incarcerated
and newly discharged HIV positive
adults.
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Yale
University AIDS Program
TRANSITIONS
Transitions
is a novel demonstration program
for managing HIV+ clients as they
transition from the jail to the
community setting. Rapid HIV testing
will be enhanced within this setting
to improve diagnostic screening
for HIV. The Transitions intervention
is based on three evidence-based
components that will be adapted
for jail-released settings: 1)
buprenorphine maintenance therapy
(BMT) for opioid dependence; 2)
intensive case management (ICM)
with elements of assertive community
treatment; and 3) money management
(MM) that utilizes an assigned
payee to manage financial resources
to reduce social instability,
homelessness, substance abuse
and mental illness. A randomized
controlled trial of MM will be
conducted to determine if this
added contribution may lead to
previously unattained outcomes.
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University
of Chicago, IL School of Public
Health
Enhancing HIV care linkages
for women in jail: A gender-responsive
case management approach
The
proposed project will address
primary care and service needs
of women who are living with HIV
in jail and upon returning to
the community, with an emphasis
on building effective community
linkages specific to the needs
of women. The proposed intervention
targets incarcerated women in
Cook County Jail. To enhance continuity
of quality care and services for
incarcerated women with HIV, the
University of Illinois at Chicago
will plan interventions before
release, and continue to mitigate
barriers to obtaining care and
services in their communities.
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Baystate
Medical Center, Inc.
The Hampden County Public
Health Model of Correctional Health
Care
Enhancement Project
The
Hampden County Correctional Center
(HCCC) in Springfield Massachusetts
has developed a "public health
model of correctional health care"
that is recognized as a national
model. HCCC promotes continuity
of care for inmates and releasees
by using dually-based physicians
and case managers working at the
jail and at community health centers
in Hampden County. The model emphasizes
five elements: early detection,
effective treatment, education,
prevention, and continuity of
care. The proposed project will
enhance current linkages in primary
care and social support services
by adding dually-based mental
health clinicians that will provide
mental health assessment and treatment
services in the jail and at the
collaborating community health
centers that include the Holyoke
Health Center, the Caring Health
Center, Mason Square Neighborhood
Health Center, High Street Health
Center, and Brightwood Health
Center. Mental health services
will be provided by a contracted,
non-profit vendor, Behavioral
Health Network. This provider
delivers on-site outpatient and
inpatient services at the jail
of the health services department
and through this project will
expand services to increase continuity
care through follow-up services
at community health center sites
that provide primary care to HIV-infected
releasees. The mental health services
staff includes psychiatrists,
social workers, clinicians, administrators,
and program managers. The project
will also increase the capacity
of the collaborating health centers
to provide medication-assisted
treatment for opioid addiction
within the HIV primary care and
support service network. Additional
focus of the project will be to
serve those HIV-infected individuals
with co-occurring disorders, posttraumatic
stress disorder, and HIV-infected
women inmates and releasees.
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University
of South Carolina Reserch Foundation
South
Carolina Linkage Program for Inmates
The
South Carolina Linkage Program
for Inmates (SCLPI) is designed
to address the core goals of identifying
HIV-infected individuals in jails
and promoting their participation
in HIV primary care and other
support services as they re-enter
the community. To do so we will
implement rapid testing and a
brief linkage coordination intervention
that has been demonstrated in
clinical trials to be effective
in improving linkage with HIV
primary care and substance abuse
treatment. We will also implement
a brief educational program that
will be provided to inmates immediately
following their detention in the
Alvin S. Glenn Detention Center
(ASGDC).
The ASGDC serves as the intake
center for un-sentenced misdemeanor
and/or felony detainees/inmates
and as an incarceration facility
for sentenced offenders.
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Philadelphia
FIGHT
The Healthcare Linkage Program
Philadelphia
FIGHT, in partnership with Action
AIDS and the Center for Mental
Health Policy and Services Research
at the University of Pennsylvania,
proposes to increase capacity
and enhance coordination of services
for people living with HIV/AIDS
within the Philadelphia Prison
System and once released through
a Healthcare Linkage Program.
The program will offer five core
services: 1) in-reach within the
nine local jails; 2) ex-offender
case management services initiated
in the jails and continued at
Action AIDS; 3) in-jail discharge
planning; 4) an ex-offender HIV
primary care clinic at the Jonathan
Lax Center; 5) a 5 week patient
education program housed at FIGHT.
All services will be coordinated
through weekly partner case conferences,
informed by a multi-agency task
force, and refined and disseminated
through data collection and evaluation
results.
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NYC
Department of Health and Mental
Hygiene
Special Projects of National
Significance (SPNS) Planned Reintegration
Opportunities to Gain Release
& Access Medical care
DOHMH
has established a Continuum of
Care model for persons living
with HIV/AIDS in city jails that
includes testing, treatment and
discharge planning. DOHMH, in
collaboration with Rikers Island
Transitional Consortium (RITC),
proposes the SPNS Program as an
enhancement to the existing HIV
Continuum of Care. This program
will provide for the unmet primary
care and substance abuse needs
of people living with HIV/AIDS
by providing linkages to care
for people released from city
jails within 7 days or to Alternative
to Incarceration (ATI) programs
for those potentially facing sentences
longer than one year. The SPNS
program will include identification
of clients, assessment of need,
discharge plans, and placement
in community programs as appropriate,
with follow-up to ensure ongoing
participation in community health
care and services.
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Miriam
Hospital
Enhancing Linkages to HIV Primary
Care and Services in Jail Settings
The
overarching goal of this demonstration
project is to enhance existing
HIV counseling and testing services
in the jail setting, and augment
linkage to health care for HIV-positive
persons in Southeastern New England
transitioning to the community
after release from jail. This
will encompass linkage to HIV
primary care, as well as mental
health and substance abuse treatment,
dentistry, and ophthalmology.
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Emory University
Evaluation And Support Center
For Models Of Identifying HIV Infected
Persons In Jail Settings And Enhancing
Linkages To HIV Primary Care
A
multidisciplinary team of scientists
at the Rollins School of Public
Health of Emory University in
Atlanta, GA and researchers from
Abt Associates Inc. in Cambridge,
MA will partner in implementing
the activities of the Evaluation
and Support Center (ESC). The
ESC team will convene a consultation
of experts who will advise HRSA
on recent advances in identifying
and linking HIV-infected jail
inmates with care. Based on the
consultation meeting and other
research, the ESC will write a
report on recent trends, possible
interventions, relevant research
designs, and recommended data
elements for collection in a multi-site
evaluation of testing and linkage
models. The ESC will develop recommended
methods, protocols, and procedures
for such a multi-site evaluation
of the demonstration projects,
including quantitative and qualitative
process and outcome measures.
It will also devise plans for
the provision of technical assistance,
data management, and dissemination
of results.
