Health Outcomes for HIV-Infected Persons Released From the New York City Jail System With a Transitional Care-Coordination Plan

Teixeira, Paul A.; Jordan, Alison O.; Zaller, Nickolas; Shah, Dhara; Venters, Homer

doi:10.2105/ajph.2014.302234

Cited by 41 publications

(35 citation statements)

References 29 publications

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“…Additionally, relationships with medical providers prior to incarceration have been shown to result in higher linkage rates among PLWHIV. 16,29,30 Our study mirrors this finding given a preference to be linked to one's existing health system was associated with linkage to HCV care. Among PLWHIV who reported no prior history of HIV medical services, Molitor et al identified a linkage rate of 29%.…”

Section: Discussionsupporting

confidence: 70%

Linkage to Hepatitis C Care After Incarceration in Jail: A Prospective, Single Arm Clinical Trial

Akiyama

Columbus

MacDonald

et al. 2019

Preprint

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Background: Hepatitis C virus (HCV) is a major public health problem in correctional settings. HCV treatment is often not possible in U.S. jails due to short lengths of stay. Linkage to care is crucial in these settings, but competing priorities complicate community healthcare engagement and retention after incarceration. Methods: We conducted a single arm clinical trial of a combined transitional care coordination (TCC) and patient navigation intervention and assessed the linkage rate and factors associated with linkage to HCV care after incarceration. Results: During the intervention, 84 participants returned to the community after their index incarceration. Most participants were male and Hispanic, with a history of mental illness and a mean age of 45 years. Of those who returned to the community, 26 (31%) linked to HCV care within a median of 20.5 days; 17 (20%) initiated HCV treatment, 15 (18%) completed treatment, 9 (11%) had a follow-up lab drawn to confirm sustained virologic response (SVR), and 7 (8%) had a documented SVR. Among those with follow-up labs the known SVR rate was (7/9) 78%. Expressing a preference to be linked to the participant’s existing health system, being on methadone prior to incarceration, and feeling that family or a loved one were concerned about the participant’s wellbeing were associated with linkage to HCV care. Reporting drinking alcohol to intoxication prior to incarceration was negatively associated with linkage to HCV care. Conclusion: We demonstrate that an integrated strategy with combined TCC and patient navigation may be effective in achieving timely linkage to HCV care. Additional multicomponent interventions aimed at treatment of substance use disorders and increasing social support could lead to further improvement.

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Section: Discussionsupporting

confidence: 70%

Linkage to Hepatitis C Care After Incarceration in Jail: A Prospective, Single Arm Clinical Trial

Akiyama

Columbus

MacDonald

et al. 2019

Preprint

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“…Collaboration between prisons and community-based organizations may ensure continuation of services. 13,32 Incarcerated persons with HIV are a vulnerable and underserved population. Providing HIV-related services will not only benefit their health but also the health of the communities to which they return.…”

Section: Discussionmentioning

confidence: 99%

HIV Testing, HIV Positivity, and Linkage and Referral Services in Correctional Facilities in the United States, 2009–2013

Seth

Figueroa

Wang³

et al. 2015

Sexually Transmitted Diseases

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Background Because of health disparities, incarcerated persons are at higher risk for multiple health issues, including HIV. Correctional facilities have an opportunity to provide HIV services to an underserved population. This article describes Centers for Disease Control and Prevention (CDC)–funded HIV testing and service delivery in correctional facilities. Methods Data on HIV testing and service delivery were submitted to CDC by 61 health department jurisdictions in 2013. HIV testing, HIV positivity, receipt of test results, linkage, and referral services were described, and differences across demographic characteristics for linkage and referral services were assessed. Finally, trends were examined for HIV testing, HIV positivity, and linkage from 2009 to 2013. Results Of CDC-funded tests in 2013 among persons 18 years and older, 254,719 (7.9%) were conducted in correctional facilities. HIV positivity was 0.9%, and HIV positivity for newly diagnosed persons was 0.3%. Blacks accounted for the highest percentage of HIV-infected persons (1.3%) and newly diagnosed persons (0.5%). Only 37.9% of newly diagnosed persons were linked within 90 days; 67.5% were linked within any time frame; 49.7% were referred to partner services; and 45.2% were referred to HIV prevention services. There was a significant percent increase in HIV testing, overall HIV positivity, and linkage from 2009 to 2013. However, trends were stable for newly diagnosed persons. Conclusions Identification of newly diagnosed persons in correctional facilities has remained stable from 2009 to 2013. Correctional facilities seem to be reaching blacks, likely due to higher incarceration rates. The current findings indicate that improvements are needed in HIV testing strategies, service delivery during incarceration, and linkage to care postrelease.

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“…Broadening public health partnerships may increase availability and promote accessibility to the most appropriate healthcare services and programs, which may provide better opportunities to receive coordinated care and ensure continuity of care. Assistance with obtaining more permanent, secure housing should be incorporated into reentry planning programs for HIV-infected individuals, as it is essential to promoting successful reentry into the community (Teixeira, Jordan, Zaller, Shah, & Venters, 2015). Finally, ties to family members and other loved ones should be leveraged to help facilitate the achievement of optimal health outcomes among this population.…”

Section: Discussionmentioning

confidence: 99%

“It’s like I was out there by myself”: The receipt of reentry support among HIV-infected formerly incarcerated individuals in New York City

Rowell-Cunsolo¹,

Haile

2020

Health Justice

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Background: In the U.S., approximately one in seven HIV-infected individuals experience incarceration at least once in their lifetime. While HIV-infected individuals experience positive health outcomes during periods of incarceration, they tend to experience treatment disruption as they return to their community after custody which results in poor health outcomes. The purpose of this study was to explore the transitional support received from the Department of Corrections during the reentry period. Methods: We conducted in-depth interviews with 20 HIV-infected formerly incarcerated individuals in New York City. Interviews were audio recorded and transcribed. Three researchers performed line-by-line reading of the transcripts to identify dominant codes and themes that emerged. A mixture of deductive and inductive techniques was used to identify patterns that emerged in the data.Results: Most of the participants were male and racial and ethnic minorities. There were five dominant themes that emerged during our analysis: 1) variations in the quantity of antiretroviral medication received during transition; 2) linkages to community-based physical health care providers was not well-coordinated; 3) insufficient housing and social resources; 4) structural and social challenges to post-release well-being; and 5) family as a source of resilience.Conclusions: Discharge support planning should include sufficient medication to prevent treatment disruption and a more comprehensive approach to linkage to community-based healthcare services. Such planning should also include thorough pre-release assessments to identify appropriate levels of support needed, including employment and housing assistance, which will be useful for resource allocation. Broadening public health partnerships may also increase availability and promote accessibility to the most appropriate healthcare services and programs, which may provide better opportunities to receive coordinated care and ensure continuity of care. Finally, ties to family members and other loved ones should be leveraged to help facilitate the achievement of optimal health outcomes among this population.

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Health Outcomes for HIV-Infected Persons Released From the New York City Jail System With a Transitional Care-Coordination Plan

Abstract: Transitional care coordination services facilitate continuity of care and improved health outcomes for HIV-positive people released from jail.

Cited by 41 publications

References 29 publications

Linkage to Hepatitis C Care After Incarceration in Jail: A Prospective, Single Arm Clinical Trial

Linkage to Hepatitis C Care After Incarceration in Jail: A Prospective, Single Arm Clinical Trial

HIV Testing, HIV Positivity, and Linkage and Referral Services in Correctional Facilities in the United States, 2009–2013

“It’s like I was out there by myself”: The receipt of reentry support among HIV-infected formerly incarcerated individuals in New York City

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