Costs and Consequences of Eliminating a Routine, Point-Of-Care HIV Screening Program in a High-Prevalence Jail

Hutchinson, Angela B.; MacGowan, Robin J.; Margolis, Andrew D.; Adee, Madeline; Wen, Wendy; Bowden, Chava J.; Spaulding, Anne C.

doi:10.1016/j.amepre.2021.06.006

Cited by 10 publications

(8 citation statements)

References 30 publications

(40 reference statements)

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“… 40 – 43 CDC has developed guidance for developing HIV screening programs in correctional settings. 44 In this issue, Hutchinson and colleagues 45 provide an example of the impact of a jail screening program and not being able to maintain routine HIV screening in a jail in an EHE Phase 1 jurisdiction.…”

Section: Strategy 1: Expand or Implement Routine Opt-out Hiv Screenin...mentioning

confidence: 99%

HIV Testing Strategies for Health Departments to End the Epidemic in the U.S.

Delaney

DiNenno

2021

American Journal of Preventive Medicine

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An important goal of the Ending the HIV Epidemic in the U.S. initiative is the timely diagnosis of all people with HIV as early as possible after infection. To end the HIV epidemic, health departments were encouraged to propose new and innovative HIV testing strategies and improve the reach of existing programs. These activities were divided into 3 core strategies: expansion of routine screening in healthcare settings, locally tailored HIV testing initiatives in nonhealthcare settings, and specific efforts to increase the frequency of testing for individuals with increased potential for acquiring HIV. Because HIV testing is such a crucial part of the core activities of the Centers for Disease Control and Prevention's HIV prevention programs, there are many examples of evidencebased programs and best practices for HIV testing in both clinical and nonclinical settings. This article reviews the evidence base for these strategies and some of the activities proposed under the Diagnose pillar to achieve the goal of diagnosing all HIV infections as early as possible. All other Ending the HIV Epidemic in the U.S. activities start with an awareness of HIV status, which is actually the indicator for which most health departments are closest to the proposed targets. There are both proven and emerging approaches to increasing HIV screening and increasing the frequency of HIV screening available. The Ending the HIV Epidemic in the U.S. initiative provides the motivation, the resources, and a coordinated plan to bring them to scale.

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Section: Strategy 1: Expand or Implement Routine Opt-out Hiv Screenin...mentioning

confidence: 99%

HIV Testing Strategies for Health Departments to End the Epidemic in the U.S.

Delaney

DiNenno

2021

American Journal of Preventive Medicine

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“…Similarly, models have shown HIV testing and treatment in prison, jails, or on release is cost-effective in preventing HIV transmission the United States. [21][22][23][24]…”

Section: Modeling Health Interventions In Criminal Justice Settingsmentioning

confidence: 99%

Modeling as Visioning: Exploring the Impact of Criminal Justice Reform on Health of Populations with Substance Use Disorders

Martin,

Beletsky,

Linas

et al. 2023

MDM Policy & Practice

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In the context of historic reckoning with the role of the criminal-legal system as a structural driver of health harms, there is mounting evidence that punitive drug policies have failed to prevent problematic drug use while fueling societal harms. In this explainer article, we discuss how simulation modeling provides a methodological framework to explore the potential outcomes (beneficial and harmful) of various drug policy alternatives, from incremental to radical. We discuss potential simulation modeling opportunities while calling for a more active role of simulation modeling in visioning and operationalizing transformative change. Highlights This article discusses opportunities for simulation modeling in projecting health and economic impacts (beneficial and harmful) of drug-related criminal justice reforms. We call on modelers to explore radical interventions to reduce drug-related harm and model grand alternative futures in addition to more probable scenarios, with a goal of opening up policy discourse to these options.

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“…With few exceptions, there is a paucity of recent literature exploring HIV testing efforts in detention settings. One notable exception is a study by Hutchinson et al (2021) that examined the cost effectiveness and public health impact of eliminating routine HIV screening as compared with targeted HIV testing in jails [ 36 ]. Results from this study suggest that routine screening identified 74 more new HIV infections over 1 year as compared to targeted HIV testing, resulting in roughly 10 averted HIV transmissions and 45 quality-adjusted life-years saved.…”

Section: Hiv Care Outcomes For Adults Released From Detention Settingsmentioning

confidence: 99%

Interventions Designed to Improve HIV Continuum of Care Outcomes for Persons with HIV in Contact with the Carceral System in the USA

et al. 2022

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Costs and Consequences of Eliminating a Routine, Point-Of-Care HIV Screening Program in a High-Prevalence Jail

Cited by 10 publications

References 30 publications

HIV Testing Strategies for Health Departments to End the Epidemic in the U.S.

HIV Testing Strategies for Health Departments to End the Epidemic in the U.S.

Modeling as Visioning: Exploring the Impact of Criminal Justice Reform on Health of Populations with Substance Use Disorders

Interventions Designed to Improve HIV Continuum of Care Outcomes for Persons with HIV in Contact with the Carceral System in the USA

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