Original Paper

AIDS and Behavior

, Volume 17, Issue 2, pp 100-107

Jails, HIV Testing, and Linkage to Care Services: An Overview of the EnhanceLink Initiative

  • Anne C. SpauldingAffiliated withDivision of Infectious Diseases, Department of Medicine, Emory University School of MedicineDepartment of Epidemiology, Rollins School of Public Health, Emory University Email author 
  • , Cristina A. BookerAffiliated withAbt Associates Inc.
  • , Shalonda H. FreemanAffiliated withDepartment of Epidemiology, Rollins School of Public Health, Emory University
  • , Sarah W. BallAffiliated withAbt Associates Inc.
  • , Matthew S. SteinAffiliated withDepartment of Epidemiology, Rollins School of Public Health, Emory University
  • , Alison O. JordanAffiliated withNew York City Department of Health and Mental Hygiene Transitional Health Care Coordination
  • , Divya AhujaAffiliated withUniversity of South Carolina Research Foundation
  • , Liza SolomonAffiliated withAbt Associates Inc.
  • , Paula M. FrewAffiliated withDivision of Infectious Diseases, Department of Medicine, Emory University School of MedicineDepartment of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University

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Abstract

Over 9 million persons in the United States (US) are admitted each year to jails. HIV prevalence among detainees is higher than the general population, which creates a public health need for linking HIV-infected detainees to services during jail and after release. The EnhanceLink initiative was funded as demonstration projects in 10 communities at 20 separate jails across the US. Grantees implemented and evaluated innovative models of HIV testing in jails and linkage of HIV-infected individuals to community services post release. In this paper, we describe services delivered with the EnhanceLink initiative. During 877,119 admission events, 210,267 inmates agreed to HIV testing and 822 new diagnoses of HIV were made. The majority of persons served with transitional services were previously diagnosed before the current incarceration. Cumulatively, 9,837 HIV+ persons were offered linkage and transitional services and 8,056 (82 %) accepted the offer. EnhanceLink demonstrated the feasibility of HIV testing in jail settings and provision of linkage services to enhance continuity of HIV care post-release.

Keywords

HIV/AIDS HIV testing Incarceration Inmate Jail