Jails, HIV Testing, and Linkage to Care Services: An Overview of the EnhanceLink Initiative
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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.
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- Jails, HIV Testing, and Linkage to Care Services: An Overview of the EnhanceLink Initiative
AIDS and Behavior
Volume 17, Issue 2 Supplement, pp 100-107
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- Author Affiliations
- 1. Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, GA, USA
- 2. Department of Epidemiology, Rollins School of Public Health, Emory University, 1518 Clifton Road, Room 3033, Atlanta, GA, 30322, USA
- 3. Abt Associates Inc., Cambridge, MA, USA
- 5. New York City Department of Health and Mental Hygiene Transitional Health Care Coordination, New York, NY, USA
- 6. University of South Carolina Research Foundation, Columbia, SC, USA
- 4. Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA, USA