Navigator-Enhanced Case Management for HIV-Infected Jail Inmates Reentering the Community
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 271
- 试验地点
- 1
- 主要终点
- substance use
研究概览
简要总结
Each year, there are over 600 unduplicated HIV-infected persons incarcerated in the San Francisco jail. Two thirds of those released with HIV-focused discharge planning are reincarcerated within one year. More than half of HIV-infected jail inmates are diagnosed with mental health conditions severe enough to require medication and a similar proportion report substance use disorders at the time of detention. While some community-based services exist, there remains a critical need to improve linkages to care and adherence to care plans for HIV-infected adults as they move between community and jail. The Navigator Project is a five-year randomized study that will test the effectiveness of an intensive enhanced case management intervention to reduce sex and drug-related HIV transmission risk; increase HIV medication adherence; reduce drug dependence; and reduce reincarceration.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Double (Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Detention in the San Francisco jail system
- •Confirmed HIV infection
- •Lifetime history of ever having met standardized criteria for drug or alcohol addiction
- •Likely release back into San Francisco without transfer to another facility
- •Agreement to work with Forensic AIDS Project to plan post-release care
- •Able and willing to provide informed consent
- •Not scheduled for release within 36 hours
排除标准
- •Undocumented HIV status
- •Inability to speak English or Spanish
- •Unable or unwilling to provide informed consent
- •Not under routine level of jail security
研究组 & 干预措施
FAP counseling
Control arm utilizing the standard of care: access to services provided by the Forensic AIDS Project for up to 90 days after release
干预措施: Forensic AIDS Project (Behavioral)
Navigator enhanced case-management
Experimental arm: access to Navigator enhanced case-management services for one year after release
干预措施: Navigator enhanced case-management (Behavioral)
结局指标
主要结局
substance use
时间窗: 2 months, 6 months, 12 months
change from baseline in self-reported drug and alcohol use, measured by a survey tool, and actual use of five drugs (methamphetamine, cocaine, tetrahydrocannabinol, opiates, and benzodiazepines), measured by a urine screen, at three time points each
recidivism
时间窗: 12 months
number of times re-detained during the twelve-month study period, collected from jail records
次要结局
- adherence to HIV medications(2 months, 6 months, 12 months)
- sexual risk behavior(2 months, 6 months, 12 months)