The Feasibility of Implementing the HIV Seek, Test, and Treat Strategy in Jails

Beckwith, Curt G.; Bazerman, Lauri; Gillani, Fizza S.; Tran, Liem; Larson, Brita; Rivard, Saul; Flanigan, Timothy P.; Rich, Josiah D.

doi:10.1089/apc.2013.0357

Cited by 21 publications

(13 citation statements)

References 19 publications

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“…[9][10][11][12] Loss to follow-up on reentry and delays in linkage to care on release from corrections have been previously identified. 13,14 Much of the published literature is based on analyses of data from individual programs or cohorts with small population sizes. In 2009, Baillargeon et al 12 used Ryan White HIV/AIDS Program (RWHAP) AIDS Drug Assistance Program data in Texas to identify that only 5.8% of 2115 persons released from prison linked to care in time to avoid lapses in treatment.…”

Section: Introductionmentioning

confidence: 99%

Systematic Assessment of Linkage to Care for Persons with HIV Released from Corrections Facilities Using Existing Datasets

Montague

Rosen

Sammartino

et al. 2016

AIDS Patient Care and STDs

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Populations in corrections continue to have high prevalence of HIV. Expanded testing and treatment programs allow persons to be identified and stabilized on treatment while incarcerated. However, these gains and frequently lost on reentry. Systemic frameworks are needed to monitor linkage to care to guide programs supporting linkage to care. To assess the adequacy of linkage to care on reentry, incarceration data from the National Corrections Reporting Program and data from the Ryan White Services Report from 2010 to 2012 were linked using an encrypted client identification (eUCI). Time from release to the first visit and presence of detectable HIV RNA at linkage were assessed. Multivariate survival analyses were performed to identify associations between patient characteristics and time to linkage. Among those linking, only 43% in Rhode Island and 49% in North Carolina linked within 90 days, and 33% in both states had detectable viremia at the first visit. Those not previously in care and with shorter incarceration experiences longer linkage times. Persons identified as black, had median times greater than 1 year. Using existing datasets, significant gaps in linkage to care for persons with HIV on release from corrections were demonstrated in Rhode Island and North Carolina. Systemically implementing this monitoring to evaluate changes over time would provide important information to support interventions to improve linkage in high-risk populations. Using national datasets for both corrections and clinical data, this framework equally could be used to evaluate experiences of persons with HIV linking to care on release from corrections facilities nationwide.

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Section: Introductionmentioning

confidence: 99%

Systematic Assessment of Linkage to Care for Persons with HIV Released from Corrections Facilities Using Existing Datasets

Montague

Rosen

Sammartino

et al. 2016

AIDS Patient Care and STDs

Self Cite

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show abstract

“…This program of rapid testing allowed all persons to receive results, in contrast to a program using conventional testing, where only 64% of persons testing positive were notified of results. 25 Unlike testing in community venues, 26 a medical system is already in place in jails and permits timely confirmatory testing. Also, because a jail health service is a medical system providing care, we were able to obtain feedback from our state and local health department whether positive diagnoses came from persons who had tested previously or were truly new.…”

Section: Discussionmentioning

confidence: 99%

Establishing an HIV Screening Program Led by Staff Nurses in a County Jail

Spaulding

Kim

Corpening

et al. 2015

Journal of Public Health Management and Practice

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Context HIV testing in jails provides an opportunity to reach individuals outside the scope of traditional screening programs. The rapid turnover of jail populations has, in the past, been a formidable barrier to offering routine access to testing. Objective To establish an opt-out, rapid HIV testing program, led by nurses on the jail staff, that would provide undiagnosed yet infected detainees opportunities to learn their status regardless of their hour of entry and duration of stay. Design Jail nurses offered rapid, opt-out HIV testing Setting Fulton County Jail (FCJ) in Georgia, United States. Participants 30,316 persons booked to FCJ. Intervention In late 2010, we performed a preliminary evaluation of HIV seroprevalence. Starting January 1, 2011, HIV testing via rapid oral mucosal swab was offered to entrants. In March 2013, fingerstick was substituted. Detainees identified as positives were assisted with linkage to care. Main outcome measures To estimate an upper limit of overall HIV prevalence among entrants, we determined seroprevalence by age and gender group. To measure program performance, we checked offer and acceptance rates for tests and rate of linkage to care among previously known and newly identified HIV+ detainees. Results The initial seroprevalence of HIV in FCJ was at least 2.18%. Between March 2013 and February 2014, 89 new confirmed positives were identified through testing. During these 12 months, 20,947 bookings were followed by an offer of HIV testing (69.10% offer rate), and 17,035 persons accepted (81.32% acceptance rate). A total of 458 previously and newly identified persons were linked to HIV care. Linkage was significantly higher among those aged 40 years and older (p<0.05). Conclusions A nurse-led, rapid HIV testing model successfully identified new HIV diagnoses. The testing program substantially decreased the number of persons who are HIV-infected but unaware of their status and promoted linkage to care.

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“… c Visher et al 2014 54 and Swan et al 2015 37 : implementation study for HIV-STIC (see manuscript for review of findings) …”

Section: Figurementioning

confidence: 99%

Can TasP Approaches Be Implemented in Correctional Settings?: A review of HIV testing and linkage to community HIV treatment programs

Elkington¹,

Jaiswal²,

Spector³

et al. 2016

hpu

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High rates of HIV in correctional populations makes evaluation of programs that increase HIV testing in correctional settings and linkage to HIV treatment upon release, and understanding key implementation issues of these programs, essential to reducing new HIV infection. We conducted a systematic search for studies of outcomes or implementation issues of programs that promote HIV testing or that promote linkage to community HIV treatment post-release. Thirty-five articles met inclusion criteria: nine HIV testing initiatives and four linkage programs. HIV testing uptake rates were between 22% and 98% and rates of linkage to community treatment were between 79% and 84%. Findings suggest that some programs may be effective at reducing HIV transmission within the communities to which inmates return. However, attention to implementation factors, such as organizational culture and staff collaborations, appears critical to the success of these programs. Future research using rigorous design and adequate comparison groups is needed.

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The Feasibility of Implementing the HIV Seek, Test, and Treat Strategy in Jails

Cited by 21 publications

References 19 publications

Systematic Assessment of Linkage to Care for Persons with HIV Released from Corrections Facilities Using Existing Datasets

Systematic Assessment of Linkage to Care for Persons with HIV Released from Corrections Facilities Using Existing Datasets

Establishing an HIV Screening Program Led by Staff Nurses in a County Jail

Can TasP Approaches Be Implemented in Correctional Settings?: A review of HIV testing and linkage to community HIV treatment programs

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