Health and Justice: A Continuum of Care for HIV and SU for Justice-Involved Young Adults (PHASE 2)

Not Applicable

Completed

Conditions: Sexually Transmitted Diseases
Substance Use
Substance Use Disorders
HIV/AIDS
HIV Infections
Substance Abuse

Interventions: Behavioral: Link2CARE

Registration Number: NCT03369249

Lead Sponsor: New York State Psychiatric Institute

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.

Detailed Description: Not available

Recruitment & Eligibility

Status: COMPLETED

Sex: All

Target Recruitment: 307

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:

None

Study & Design

Study Type: INTERVENTIONAL

Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Link2CARE	Link2CARE	This arm is comprised of participants randomized to the 4-session Link2CARE intervention.

Primary Outcome Measures

Name	Time	Method
Total Number of Unprotected Anal and Vaginal Sex Occasions in Past 3 Months	at 12-month follow-up	measured by participant report in the "Sexual Risk" section of the questionnaires

Secondary Outcome Measures

Name	Time	Method
Frequency of Young Adults Substance Use in Past 30 Days	at 3-, 6-, and 12-month follow-ups	measured by participant report in the "Substance Use" section of the questionnaires
Any STI Testing	between 6- and 12-month follow-ups	measured by participant report in the "STI Testing" section of the questionnaires
Any HIV Testing	between 6-month and 12-month follow-ups	measured by participant report in the "HIV Testing" section of the questionnaires
Acceptance of STI Testing (Yes/no)	at day 1 of enrollment	measured by Health Coach report in the "Session 1 Sexual Risk" questionnaire
Number of Young Adults Attending Intake Plus One Treatment Session	at 3-, 6-, and 12-month follow-ups	measured by Health Coach report in the Health Coach logs and participant report in the "Substance Use Treatment" section of the questionnaires
Number of Young Adults Referred to Substance Use Treatment	at 3-, 6-, and 12-month follow-ups	measured by Health Coach report in the Health Coach logs and participant report in the "Substance Use Referral" section of the questionnaires
Number of STI+ Young Adults Referred to STI Treatment	at 3-, 6-, and 12-month follow-ups	measured by the Health Coach report in the Health Coach Logs and participant report in the "STI Referral" section of the questionnaires
Number of STI+ Young Adults Attending 1 or More Treatment Appointments	at 3-, 6-, and 12-month follow-ups	measured by Health Coach report in the Health Coach logs and participant report in the "STI Treatment" section of the questionnaires
Acceptance of HIV Testing (Yes/no)	at day 1 of enrollment	measured by Health Coach report in the "Session 1 Sexual Risk" questionnaire