Online Program

Effective Medical Linkage through Discharge Planning for the HIV Incarcerated Population: Care Coaching from Behind the Walls

Tuesday, November 3, 2015

Cody J. Poerio, MPH, ActionAIDS, Philadelphia, PA
According to the Center for Disease Control and Prevention, an estimated 1 in 7 persons living with HIV will pass through a correctional facility in their life time.  Inmates in jails and prisons across the United States are disproportionally affected by multiple health problems including HIV.  In Philadelphia, there is a strong correlation between incarceration, low income individuals and HIV transmission. In 1991 ActionAIDS expanded their care services into the Philadelphia Prison System and founded The Philadelphia Linkage Program to address this public health problem.   The primary goal of the Philadelphia Linkage Program has been to ensure the linkage of HIV positive inmates to medical and social services as they transition back into the community.  These services are initiated while the individual is incarcerated and continues post release encouraging the development of supportive relationships and increase engagement.

Under AIDS United’s Social Innovation Fund, the Philadelphia Linkage Program has expanded its prison programming with the development and implementation of a Care Coach Collaborative Model.  This model targets those HIV positive members of the incarcerated population identified as being most at risk for becoming lost to care and disengaging from vital care services.  Interrelated factors that increase this likelihood have been associated with, untreated mental health diagnosis, drug and alcohol dependency, and sub-standard housing and homelessness.  Our intervention integrates collaborative provider organizations designated to these specialized areas.   This presentation is intended to provide an overview of the interventions, components, and outcomes to illustrate how it can be realized within other communities.  


Learning Areas:

Administer health education strategies, interventions and programs
Administration, management, leadership
Diversity and culture
Other professions or practice related to public health
Provision of health care to the public

Learning Objectives:
Demonstrate the effectiveness of a community based social innovation project developed to provide Medical Linkage and Care Coach Services to the highest needs clients in the Philadelphia County Prisons.

Keyword(s): HIV/AIDS, Criminal Justice

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I act as the Program Coordinator for the Philadelphia Linkage Program, which receives Federal, State and independent funding to provide HIV case management, medical linkage services, and on-going needs assessment within the Philadelphia Prison System. My primary interest has been in the development and management of the Care Coach Collaborative Model of Retention for recently Incarcerated Persons with HIV. I have an MPH degree and have been a practicing clinician for the last seven years.
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.