245685 Ensuring linkage to HIV medical care services for HIV positive inmates released from Maryland correctional facilities: Coordination of multiple State and City Agencies

Monday, October 31, 2011

Andrea Jackson, MPH , Ryan White Part A Office, Baltimore City Health Department, Baltimore, MD
Marcia Pearl, MA , Center for HIV Prevention, Infectious Disease and Environmental Health Administration, Baltimore, MD
Issue: The process of preparing inmates with HIV/AIDS to continue their HIV care post-release involves multiple agencies working in concert. Given barriers to care such as homelessness, substance addictions, and mental illness, it is important that all entities work together to ensure a continuum of care for HIV positive persons post-release from prison/jail.

Description: In Maryland, HIV positive inmates receiving HIV primary care in state prison facilities or the jail are referred to Ryan White (RW) Part A providers for post-release planning, which include core medical and supportive services for persons who do not have sufficient health care coverage or financial resources. The Maryland Infectious Disease and Environmental Health Administration and RW Grantees Office have assumed coordination roles to ensure communication and coordination between participating agencies, update continuum of care protocols, and develop tools for evaluating success and identifying areas for improvement by participating agencies.

Lessons Learned: The success of linking inmates to care post-release is reliant upon on-going communication, defining clear protocols, holding all stakeholders accountable for adhering to established protocols, and continuously improving these protocols as needed. Integrated data collection and disposition review is used to analyze outcomes and develop more efficient ways of linking clients to care.

Next Steps: Ways to clarify stakeholder's roles and improve communication between participating agencies will be ongoing. Additionally, long term data collection which tracks recidivism rates among this population can potentially lead to policy implications for establishing permanent partnerships with community health care providers and corrections staff.

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

Learning Objectives:
i. To discuss strategies for facilitating effective collaboration between state and local public health entities, community health providers, and correctional health practitioners when working with incarcerated populations who are living with HIV/AIDS. ii. To discuss the process of developing a system of reporting and accountability.

Keywords: HIV/AIDS, Correctional Institutions

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I coordinate the linkage to care programs.
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.