Skip to main content

Connecting Corrections and HIV Care: Building a Care Coordination Program for Recently Incarcerated Persons Living with HIV in Virginia

Abstract

Incarcerated individuals are disproportionately affected by HIV and often experience risk factors associated with poor maintenance of HIV care upon release. Therefore, the transition period from incarceration to the community is a particularly critical time for persons living with HIV to ensure continuity of care and treatment. By building relationships with Department of Corrections staff and community partners, the Virginia Department of Health developed a program to link recently incarcerated persons living with HIV to care and treatment immediately upon release from correctional facilities across Virginia. Findings show that clients served by the program have better outcomes along the HIV continuum of care than the overall population living with HIV in Virginia. This paper describes the development, implementation and health outcomes of the Care Coordination program for recently incarcerated persons living with HIV in Virginia.

This is a preview of subscription content, access via your institution.

Fig. 1
Fig. 2

References

  1. 1.

    HIV Continuum of Care: https://www.aids.gov/federal-resources/policies/care-continuum/. Accessed Oct 20 2016.

  2. 2.

    Iroh PA, Mayo H, Ank EN. The HIV care cascade before, during, and after incarceration: a systematic review and data synthesis. Am J Public Health. 2015;105(7):e5–16.

    Article  PubMed  PubMed Central  Google Scholar 

  3. 3.

    Zelenev A, Marcus R, Kopelev A, et al. Patterns of homelessness and implications for HIV health after release from jail. AIDS Behav. 2013;17:181.

    Article  Google Scholar 

  4. 4.

    Haley DF, Golin CE, Farel C, Wohl DA, Scheyett AM, Garrett JJ, Rosen DL, Parker SD. Multilevel challenges to engagement in HIV care after prison release: a theory-informed qualitative study comparing prisoners’ perspectives before and after community reentry. BMC Public Health. 2014;14(1):195–202.

    Article  Google Scholar 

  5. 5.

    Westergaard RP, Kirk GD, Richesson DR, Galai N, Mehta SH. Incarceration predicts virologic failure for HIV-infected injection drug users receiving antiretroviral therapy. Clin Infect Dis. 2011;53(7):725–31.

    Article  PubMed  PubMed Central  Google Scholar 

  6. 6.

    Meyer JP, Cepeda J, Springer SA, Wu J, Trestman RL, Altice FL. HIV in people reincarcerated in Connecticut prisons and jails: an observational cohort study. Lancet HIV. 2014;1(2):e77–84.

    Article  PubMed  PubMed Central  Google Scholar 

  7. 7.

    Westergaard RP, Spaulding AC, Flanigan TP. HIV among persons incarcerated in the US: a review of evolving concepts in testing, treatment and linkage to community care. Curr Opin Infect Dis. 2013;26(1):10–6.

    Article  PubMed  PubMed Central  Google Scholar 

  8. 8.

    Virginia AIDS Drug Assistance Program (ADAP): Virginia Department of Health. http://www.vdh.virginia.gov/disease-prevention/virginia-aids-drug-assistance-program-adap/. Accessed Jan 19 2017.

  9. 9.

    The Impact of Care Coordination Services on HIV Care Outcomes Among Formerly Incarcerated Individuals in Virginia. Virginia Department of Health. Presented June 2015. International Association of Providers of HIV Care (IAPAC).

  10. 10.

    The Breakthrough Series: IHI’s Collaborative Model for Achieving Breakthrough Improvement. IHI Innovation Series white paper. Institute for Healthcare Improvement: http://www.ihi.org/resources/pages/ihiwhitepapers/thebreakthroughseriesihiscollaborativemodelforachievingbreakthroughimprovement.aspx (2003). Accessed Sept 14 2016.

  11. 11.

    Virginia Department of Health Care Coordination Manual: http://www.vdh.virginia.gov/disease-prevention/virginia-aids-drug-assistance-program-adap/care-coordination-services/. Accessed Sept 14 2016.

  12. 12.

    Damschroder LJ, Aron D, Keith RE, Kirsh SR, Alexander JA, Lowery JC. Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Sci. 2009;4:50.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Acknowledgements

The authors thank the Health Resources and Services Administration (HRSA) HIV/AIDS Bureau (HAB) Special Projects of National Significance (SPNS) initiative for supporting the development and evaluation of the Care Coordination program through Systems Linkages and Access to Care for Populations at High Risk for HIV initiative (2011–2015). Additionally, the authors thank the Comprehensive HIV/AIDS Resources and Linkages for Inmates (CHARLI) program for their partnership during this initiative.

Funding

This study was funded by the Health Resources and Services Administration (HRSA) through a Special Projects of National Significance (SPNS) Systems Linkages and Access to Care for Populations at High Risk for HIV Infection Grant from 2011 to 2016 (HRSA-11-098).

Author information

Affiliations

Authors

Corresponding author

Correspondence to Anne Rhodes.

Ethics declarations

Conflict of interest

The above listed authors declare no conflicts of interest.

Ethical Approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Bailey, S., Gilmore, K., Yerkes, L. et al. Connecting Corrections and HIV Care: Building a Care Coordination Program for Recently Incarcerated Persons Living with HIV in Virginia. AIDS Behav 23, 25–31 (2019). https://doi.org/10.1007/s10461-017-2003-3

Download citation

Keywords

  • HIV
  • Care coordination
  • Incarceration
  • HIV continuum of care