AIDS and Behavior

, Volume 17, Supplement 2, pp 171–180

Post-Release Substance Abuse Outcomes Among HIV-Infected Jail Detainees: Results from a Multisite Study

Authors

    • Section of Infectious Diseases, AIDS ProgramYale University School of Medicine
  • Jeffrey A. Wickersham
    • Section of Infectious Diseases, AIDS ProgramYale University School of Medicine
  • Ehsan Chitsaz
    • Section of Infectious Diseases, AIDS ProgramYale University School of Medicine
  • Sandra A. Springer
    • Section of Infectious Diseases, AIDS ProgramYale University School of Medicine
  • Alison O. Jordan
    • New York City Department of Health and Mental Hygiene
  • Nick Zaller
    • Warren Alpert Medical School of Brown University
  • Frederick L. Altice
    • Section of Infectious Diseases, AIDS ProgramYale University School of Medicine
    • Division of Epidemiology of Microbial DiseasesYale University School of Public Health
Original Paper

DOI: 10.1007/s10461-012-0362-3

Cite this article as:
Krishnan, A., Wickersham, J.A., Chitsaz, E. et al. AIDS Behav (2013) 17: 171. doi:10.1007/s10461-012-0362-3

Abstract

HIV-infected individuals with substance use disorders have a high prevalence of medical and psychiatric morbidities that complicate treatment. Incarceration further disrupts healthcare access and utilization. Without appropriate diagnosis and treatment, drug relapse upon release exceeds 85 %, which contributes to poor health outcomes. A prospective cohort of 1,032 HIV-infected jail detainees were surveyed in a ten-site demonstration project during incarceration and six-months post-release, in order to examine the effect of predisposing factors, enabling resources and need factors on their subsequent drug use. Homelessness, pre-incarceration cocaine and opioid use, and high drug and alcohol severity were significantly associated with cocaine and opioid relapse. Substance abuse treatment, though poorly defined, did not influence post-release cocaine and opioid use. An approach that integrates multiple services, simultaneously using evidence-based substance abuse, psychiatric care, and social services is needed to improve healthcare outcomes for HIV-infected persons transitioning from jails to the community.

Keywords

HIV/AIDSSubstance use disordersJail detaineesSubstance abuse treatmentAddiction severityHeroinCocaineHomelessness

Copyright information

© Springer Science+Business Media New York 2012