Online Program

Seek, test, treat and retain: A university/community partnership to address HIV among persons who are incarcerated or leaving jail and prison

Wednesday, November 4, 2015 : 1:10 p.m. - 1:30 p.m.

Lawrence J. Ouellet, PhD, Division of Epidemiology and Biostatistics, University of Illinois at Chicago, School of Public Health, Chicago, IL
Jeremy Young, MD, MPH, Department of Medicine, Division of Infectious Diseases, University of Illinois at Chicago, Chicago, IL
Cynthia Tucker, MS, Department of Prevention Services, AIDS Foundation of Chicago, Chicago, IL
Dorothy Murphy, MS, RN, Epidemiology and Biostatistics, University of Illinois at Chicago, School of Public Health, Chicago, IL
Chad Zawitz, M.D., John H. Stroger Hospital and CORE Center, Cermak Health Services, Chicago, IL
Issue:  Communities with high rates of HIV often experience high rates of incarceration, which makes jails and prisons key sites for addressing HIV diagnosis and management. Improvements are needed in identifying inmates with undiagnosed or untreated infections, treating them during incarceration, linking inmates to HIV care when returning to the community, and retaining them in care.

Description: Jails and prisons hold populations with rates of HIV infection 3-5 times greater than the general population. Appropriate treatment and retention in care may improve the health of those living with HIV and reduce new infections in their communities. We created a coalition of providers comprising the University of Illinois at Chicago, Cook County Jail, Illinois Department of Corrections, and the AIDS Foundation of Chicago that formed, implemented or evaluated means for improving HIV testing, linkage to medical care, HIV treatment for the reentry population, linkage to HIV treatment after leaving jail/prison, and adherence and retention in care.  These strategies include opt-out HIV testing, discharge planning, subspecialty care for prisoners using telemedicine, and corrections-oriented community-based case management. 

Lessons learned:  A strong commitment to goals and a community-level perspective served the coalition well. Large institutions faced bureaucratic issues that could slow program execution.  Opt-out testing was more difficult to implement in jail than in prison.  Telemedicine proved highly effective in treating HIV-positive inmates. Case management appears to be effective in helping persons adhere to HIV care after release from incarceration, but many former inmates fail to link to post-release case management and medical care.

Learning Areas:

Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Public health or related public policy
Public health or related research

Learning Objectives:
Describe the building of a university-community partnership to implement a treatment-as-prevention intervention for persons who are incarcerated or returning to the community from jail and prison.

Keyword(s): HIV Interventions, Criminal Justice

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a principal investigator for this STTR project, and I organized the partnership that we wish to discuss. I have been involved in HIV prevention research and services for 28 years, and have been the principal investigator for numerous federally-funded studies. I have a PhD years of experience conducting research in the realm of HIV.
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.