Of people living with HIV in the US, ~16 % or over 150,000 individuals passed through a correctional facility in 2006. Given the enormous impact of HIV within incarcerated populations, facilitating continuity of care from jails to the community is particularly important in reducing morbidity and mortality for releasees. Grantees participating in the Enhancing Linkages to HIV Primary Care in Jail Settings Initiative developed models for identifying HIV-positive detainees during incarceration and linking them to care following release. In this sample of 1,021 HIV-infected releasees, 79 % received clinical services and 74 % received additional community services within 30 days post-release. Our analysis found several significant factors associated with linkage including: receipt of HIV or medication education in jail, having a completed discharge plan at release, staff awareness of clients' release date, and stable housing on the 30th day post-release. In addition, a subset of participants who had both jail and community viral load assessments showed a statistically significant increase in suppressed viral load. EnhanceLink data suggest that jails may be effective settings to engage individuals in care.
Probation and parole professionals argue that supervision outcomes would improve if caseloads were reduced below commonly achieved standards. Criminal justice researchers are skeptical because random assignment and strong observation studies have failed to show that criminal recidivism falls with reductions in caseload sizes. One explanation is that caseload reduction by itself is insufficient; supervision must also be allotted and distributed to make the best use of supervision resources, a cornerstone of evidence-based practice (EBP). This study uses a regression discontinuity design (RDD) to test the null hypothesis that reduced caseload in an agency using EBP has no effect on criminal recidivism. Our conclusions are that reduced caseloads in this context probably reduce criminal recidivism and probably do not increase revocations for technical violations.KEYWORDS evidence-based practice, probation caseload size, probation outcomes, regression discontinuity designWe have received helpful comments from
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