Health and Justice: A Continuum of Care for HIV and SU for Justice-Involved Young Adults (PHASE 2)
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 307
- Locations
- 1
- Primary Endpoint
- Total Number of Unprotected Anal and Vaginal Sex Occasions in Past 3 Months
Study Overview
Brief Summary
This research study proposes to embed HIV testing outreach workers from a young adult focused medical and HIV treatment program into an alternative sentencing program to deliver a new service delivery model (Link2CARE) that integrates evidence-based protocols for justice-involved young adults to: a) promote HIV and STI testing, and HIV and SU risk screening, b) provide onsite intervention, and c) cross-system linkage to HIV, STI, and SU care. Phase 1 has already been completed. In phase 1, the intervention components were adapted for use among justice involved young adults and the resulting protocols were piloted with justice involved young adults, finalizing the resulting 4-session Link2CARE intervention. In phase 2, we will test Link2CARE among N=450 justice-involved young adults enrolled at the alternative sentencing program and conduct process evaluations with N=15 alternative sentencing program staff.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Prevention
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 80 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Young Adults
- •Inclusion Criteria:
- •Between 18-24 years of age
- •Currently enrolled at the alternative to sentencing program
- •Conversant in English
- •Engaged in any unprotected or vaginal sexual activity (in the past 12 months)
Exclusion Criteria
- •Cognitively unable to complete the interview
- •HIV positive
- •Alternative to Sentencing Staff
- •Inclusion Criteria:
- •Currently employed at the alternative to sentencing program
- •Between ages of 18-80
- •Exclusion Criteria:
Arms & Interventions
Link2CARE
This arm is comprised of participants randomized to the 4-session Link2CARE intervention.
Intervention: Link2CARE (Behavioral)
Standard of Care
This arm is comprised of participants who will not receive the 4-session Link2CARE intervention.
Outcomes
Primary Outcomes
Total Number of Unprotected Anal and Vaginal Sex Occasions in Past 3 Months
Time Frame: at 12-month follow-up
measured by participant report in the "Sexual Risk" section of the questionnaires
Secondary Outcomes
- Frequency of Young Adults Substance Use in Past 30 Days(at 3-, 6-, and 12-month follow-ups)
- Any STI Testing(between 6- and 12-month follow-ups)
- Any HIV Testing(between 6-month and 12-month follow-ups)
- Acceptance of STI Testing (Yes/no)(at day 1 of enrollment)
- Number of Young Adults Attending Intake Plus One Treatment Session(at 3-, 6-, and 12-month follow-ups)
- Number of Young Adults Referred to Substance Use Treatment(at 3-, 6-, and 12-month follow-ups)
- Number of STI+ Young Adults Referred to STI Treatment(at 3-, 6-, and 12-month follow-ups)
- Number of STI+ Young Adults Attending 1 or More Treatment Appointments(at 3-, 6-, and 12-month follow-ups)
- Acceptance of HIV Testing (Yes/no)(at day 1 of enrollment)
Investigators
Katherine Elkington
Research Scientist
New York State Psychiatric Institute