AIDS and Behavior

, Volume 23, Issue 4, pp 966–972 | Cite as

Jail-Based Case Management Improves Retention in HIV Care 12 Months Post Release

  • Ann AveryEmail author
  • Rachel Ciomica
  • Michael Gierlach
  • Rhoderick Machekano
Original Paper


Continuous and coordinated HIV care is essential for persons living with HIV to benefit from the advances in medical treatment of the disease. Approximately one in seven individuals living with HIV pass through correctional facilities annually. While sentenced individuals may receive discharge planning services, detainees in local jails usually do not. The multisite evaluation of the EnhanceLink initiative demonstrated that jail based services including discharge planning were associated with high rates of linkage to community HIV care upon release. Follow up for the multisite evaluation was limited to 6 months. This paper extends follow up to 12 months at one site and demonstrates that clients who were linked by the jail based case manager to a Ryan White community based case manager were more than nine times more likely to be retained in care at 12 month post release. (OR 9.39, CI 1.11–79.12).


HIV Jails Corrections Retention in care Case management 



This publication was made possible by a grant through the U.S. Department of Health and Human Services, Health Resources and Services Administration, HIV/AIDS Bureau (H97HA08543). The content of this publication does not necessarily reflect the views or policies of DHHS. Responsibility for the content of this report rests solely with the named authors.

Compliance with Ethical Standards

Conflict of interest

All authors report no conflict of interest.

Ethical Approval

All study procedures were approved by the MetroHealth IRB protocols #08-00124 and #09-01301 and were performed in compliance with the Declaration of Helsinki. A certificate of confidentiality was received for additional protection of subjects. All study participants completed informed consent prior to any study related activities.


  1. 1.
    Cohen MS, Chen YQ, McCauley M, et al. Prevention of HIV-1 infection with early antiretroviral therapy. N Engl J Med. 2011;365(6):493–505.CrossRefGoogle Scholar
  2. 2.
    Marks G, Gardner LI, Craw J, Crepaz N. Entry and retention in medical care among HIV-diagnosed persons: a meta-analysis. AIDS. 2010;24(17):2665–78.CrossRefGoogle Scholar
  3. 3.
    Gardner EM, McLees MP, Steiner JF, Del Rio C, Burman WJ. The spectrum of engagement in HIV care and its relevance to test-and-treat strategies for prevention of HIV infection. Clin Infect Dis. 2011;52(6):793–800.CrossRefGoogle Scholar
  4. 4.
    Joint United Nations Programme on HIV/AIDS. Getting to Zero. In: UNAIDS Strategy 2016–2021, 2010.Google Scholar
  5. 5.
    International Advisory Panel on HIV Care Continuum Optimization. IAPAC guidelines for optimizing the HIV care continuum for adults and adolescents. J Int Assoc Provid AIDS Care. 2014;14(Suppl 1):S3–34.Google Scholar
  6. 6.
    Higa DH, Marks G, Crepaz N, Liau A, Lyles CM. Interventions to improve retention in HIV primary care: a systematic review of US studies. Curr HIV/AIDS Rep. 2012;9(4):313–25.CrossRefGoogle Scholar
  7. 7.
    Nelson JA, Kinder A, Johnson AS, et al. Differences in selected HIV care continuum outcomes among people residing in rural, urban, and metropolitan areas-28 US jurisdictions. J Rural Health. 2018;34(1):63–70.CrossRefGoogle Scholar
  8. 8.
    Murray A, Hussen SA, Toledo L, et al. Optimizing community-based HIV testing and linkage to care for young persons in Metropolitan Atlanta. AIDS Patient Care STDS. 2018;32(6):234–40.CrossRefGoogle Scholar
  9. 9.
    Spaulding AC, Seals RM, Page MJ, Brzozowski AK, Rhodes W, Hammett TM. HIV/AIDS among inmates of and releasees from US correctional facilities, 2006: declining share of epidemic but persistent public health opportunity. PLoS ONE. 2009;4(11):e7558.CrossRefGoogle Scholar
  10. 10.
    Avery AK, Ciomcia RW, Lincoln T, et al. Jails as an opportunity to increase engagement in HIV care: findings from an observational cross-sectional study. AIDS Behav. 2012;17:137–44.CrossRefGoogle Scholar
  11. 11.
    Draine J, Ahuja D, Altice FL, et al. Strategies to enhance linkages between care for HIV/AIDS in jail and community settings. AIDS Care. 2011;23(3):366–77.CrossRefGoogle Scholar
  12. 12.
    Althoff AL, Zelenev A, Meyer JP, et al. Correlates of retention in HIV care after release from jail: results from a multi-site study. AIDS Behav. 2013;17(2):156–70.CrossRefGoogle Scholar
  13. 13.
    Booker CA, Flygare CT, Solomon L, et al. Linkage to HIV care for jail detainees: findings from detention to the first 30 days after release. AIDS Behav. 2013;17(Suppl 2):S128–36.CrossRefGoogle Scholar
  14. 14.
    Ammon B, Iroh P, Tiruneh Y, et al. HIV care after jail: low rates of engagement in a vulnerable population. J Urban Health. 2018;95(4):488–98.CrossRefGoogle Scholar
  15. 15.
    Hall BJ, Sou KL, Beanland R, et al. Barriers and facilitators to interventions improving retention in HIV care: a qualitative evidence meta-synthesis. AIDS Behav. 2017;21(6):1755–67.CrossRefGoogle Scholar
  16. 16.
    German D, Latkin CA. Social stability and HIV risk behavior: evaluating the role of accumulated vulnerability. AIDS Behav. 2012;16(1):168–78.CrossRefGoogle Scholar
  17. 17.
    Katz MH, Cunningham WE, Mor V, et al. Prevalence and predictors of unmet need for supportive services among HIV-infected persons: impact of case management. Med Care. 2000;38(1):58–69.CrossRefGoogle Scholar
  18. 18.
    Katz MH, Cunningham WE, Fleishman JA, et al. Effect of case management on unmet needs and utilization of medical care and medications among HIV-infected persons. Ann Intern Med. 2001;135(8 Pt 1):557–65.CrossRefGoogle Scholar
  19. 19.
    Sherer R, Stieglitz K, Narra J, et al. HIV multidisciplinary teams work: support services improve access to and retention in HIV primary care. AIDS Care. 2002;14(Suppl 1):S31–44.CrossRefGoogle Scholar
  20. 20.
    Craw JA, Bradley H, Gremel G, et al. Retention in care services reported by HIV care providers in the United States, 2013 to 2014. J Int Assoc Provid AIDS Care. 2017;16(5):460–6.CrossRefGoogle Scholar
  21. 21.
    Willis S, Castel AD, Ahmed T, Olejemeh C, Frison L, Kharfen M. Linkage, engagement, and viral suppression rates among HIV-infected persons receiving care at medical case management programs in Washington. DC. J Acquir Immune Defic Syndr. 2013;64(Suppl 1):S33–41.CrossRefGoogle Scholar
  22. 22.
    Recommendations for Case Management Collaboration and Coordination in Federally Funded HIV/AIDS Programs. 2008.Google Scholar
  23. 23.
    Health Resources and Services Administration. Ryan White HIV/AIDS Program Services: eligible Individuals and Allowable Uses of Funds: Policy Clarification Notice #16-02 2016.Google Scholar
  24. 24.
    Craw JA, Gardner LI, Marks G, et al. Brief strengths-based case management promotes entry into HIV medical care: results of the antiretroviral treatment access study-II. J Acquir Immune Defic Syndr. 2008;47(5):597–606.CrossRefGoogle Scholar
  25. 25.
    Saleebey D. The strengths perspective in social work practice: extensions and cautions. Soc Work. 1996;41(3):296–305.Google Scholar
  26. 26.
    Spaulding AC, Messina LC, Kim BI, et al. Planning for success predicts virus suppressed: results of a non-controlled, observational study of factors associated with viral suppression among HIV-positive persons following jail release. AIDS Behav. 2013;17(Suppl 2):S203–11.CrossRefGoogle Scholar
  27. 27.
    McLellan AT, Luborsky L, O’Brien CP, Woody GE. An improved diagnostic instrument for substance abuse patients: the Addiction Severity Index. J. Nerv. Mental Dis. 1980;168:26–33.CrossRefGoogle Scholar
  28. 28.
    McLellan P, Griffith J, Parente R, McLellan T. Addiction severity index composite score manual. The University of Pennsylvania/Veterans Administration Center for Studies of Addiction. Google Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Infectious DiseasesMetroHealth Medical CenterClevelandUSA
  2. 2.Case Western Reserve University School of MedicineClevelandUSA
  3. 3.Cleveland Bridge BuildersClevelandUSA
  4. 4.The Elizabeth Glaser Pediatric AIDS FoundationWashingtonUSA

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