245603 Designing a system for linking HIV positive inmates to care after release from jail: Overview and lessons learned from the Baltimore City Detention Center

Wednesday, November 2, 2011: 11:10 AM

Charlie Chamberlain , Center for STIs, TB, & Immigrant Health, Infectious Disease and Environmental Health Administration, Baltimore, MD
Vanessa Graves , HIV Program, Total Health Care, Baltimore, MD
Michael Graves , Hidden Garden, Park West Medical Center, Baltimore, MD
Issue: Over 40,000 persons are in custody at the Baltimore City Jail each year. Inmates who test positive for HIV receive primary care, HIV medication, and other services. Processes to ensure that persons are linked to care after release are essential, especially in jails where many people have poor prior engagement to medical care.

Description: In August 2010 the Maryland Department of Corrections; Maryland Infectious Disease and Environmental Health Administration (IDEHA), the Baltimore Ryan White (RW) Part A Program, and Baltimore City Health Department HIV/STD program initiated a pilot in Baltimore City jail by which IDEHA refers inmates to RW Providers in the community. Providers offer core medical and supportive services for persons without sufficient health care coverage or financial resources for coping with HIV. RW providers meet with HIV positive inmates during incarceration and link them to primary medical care and other services upon their release. The HIV/STD program receives information for individuals whom are released prior to meeting with a RW provider to locate them and their partners and engage them in care.

Lessons Learned: Challenges for the providers include gaining clearance into the jail and locating persons released. This pilot established a formal process for linking HIV positive persons to care after release and persons who are difficult to find while not incarcerated.

Recommendations: Moving forward, this pilot will be expanded to include other RW providers. Also, voluntary testing programs within the BCDC will be able to refer positive inmates to RW providers in the community.

Learning Areas:
Administer health education strategies, interventions and programs
Administration, management, leadership
Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs

Learning Objectives:
To discuss the system of linking persons incarcerated in City jail to HIV care post-release and lessons learned from its implementation

Keywords: HIV/AIDS, Correctional Institutions

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I serve as an outreach worker in the linkage to care jail program.
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.