220752 Evaluating CDC-funded HIV Prevention Behavioral Interventions Implemented in U.S. Jails, Prisons, and Residential Substance Abuse Treatment Facilities

Wednesday, November 10, 2010 : 10:30 AM - 10:45 AM

Tobey Sapiano, MPH , Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA
Gary Uhl, PhD , Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA
Elizabeth Kalayil, MPH , MANILA Consulting Group, Inc., McLean, VA
Andrea Moore, MPH , MANILA Consulting Group, Inc., McLean, VA
Arletha Williams, PhD, MPH Candidate , Aid Atlanta, Inc., Atlanta, GA
Julie Lifshay, PhD, MPH , Centerforce, San Rafael, CA
The burden of HIV remains disproportionately high among incarcerated persons and injection drug users. Incarcerated persons are approximately five times more likely to be infected with HIV than non-incarcerated persons, and 19% of people living with HIV were infected through injection drug use. To address these disparities, community-based organizations (CBOs) are partnering with jails, prisons and residential substance abuse treatment facilities to offer HIV prevention services.

The Community-based Organizations Behavioral Outcomes Project (CBOP) is a longitudinal evaluation in which demographic and sexual-risk data are collected at baseline and two follow-up timepoints (90 and 180 days post-intervention) to determine reported changes in HIV risk behaviors. Through CBOP, CDC is collaborating with CBOs to monitor the behavioral outcomes associated with the implementation of CDC funded HIV prevention interventions. CBOP has been conducted on two HIV prevention interventions adapted by CBOs for implementation in residential facilities; 1) Healthy Relationships, a five-session, group-level intervention developed for individuals living with HIV/AIDS; and, 2) SISTA, a five-session, group-level intervention designed for African American women.

CBOs have the capacity to conduct evaluations that require a high level of coordination between the CBO and the facility. State and/or facility regulations can impact the collection and validity of sexual behavior reporting and innovative retention strategies are required for these populations. However, longitudinal evaluations in these settings are possible.

Outcome data are currently being analyzed. CDC and CBOs can use these data to inform future development, adaptation, implementation and evaluation of HIV prevention interventions for populations in these settings.

Learning Areas:
Conduct evaluation related to programs, research, and other areas of practice
Social and behavioral sciences

Learning Objectives:
Describe the burden of HIV facing individuals in jails, prisons and residential substance abuse treatment facilities. Describe the methods that the Centers for Disease Control and Prevention is using to monitor the behavioral outcomes of effective behavioral HIV prevention interventions implemented in community settings; including jails, prisons, and residential substance abuse treatment facilities. Discuss potential solutions to 3 challenges associated with conducting outcome monitoring in jails, prisons and residential substance abuse treatment facilities.

Keywords: HIV Interventions, Evaluation

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a Behavioral Scientist at the Centers for Disease Control and Prevention. I serve as a Project Officer for outcome monitoring studies conducted on the CDC's Effective Behavioral Interventions (EBIs).
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 5112.0: Creating Successful HIV/AIDS Interventions