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| ID | Type | Description | Link |
|---|---|---|---|
| 1R01DA030796 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Institute on Drug Abuse (NIDA) | NIH |
Aim-1: Evaluate opt-out versus opt-in testing for the human immunodeficiency virus (HIV) at the Cook County jail and the Illinois Department of Corrections Northern Intake facilities. Outcomes of interest include a) uptake of each HIV testing strategy, b) comparative effectiveness of identifying HIV-positive cases, new cases and undisclosed cases, and c) predictors of HIV testing.
Aim-2: Evaluate two case management strategies - "correctional case management" and "transitional case management" - designed to improve linkage and adherence to appropriate medical care after release from incarceration. Correctional case management is a longer-term, more intense approach while transitional case management seeks to meet the clients' immediate needs, link them to Ryan White case management, and then support the Ryan White case manager in assisting these clients. Correctional case management will be compared to the standard of care for jail detainees, and to transitional case management for persons leaving prison. Outcomes of interest include, (a) HIV viral load and CD4 cell counts over time, (b) adherence to medication, and (c) visits to medical providers.
Aim-3: Evaluate the impact of an incentive for HIV-positive detainees released from jail to visit an HIV service organization where they can be linked to medical care and case management. Outcomes of interest are essentially the same as Aim-2.
Aim-4: Assess university-based telemedicine as means to improve care of state prison inmates living with HIV. Outcomes of interest include medication regimens, HIV viral load and CD4 cell counts, and associated health conditions.
Aim-5: Assess the uptake of partner notification and social network HIV counseling and testing involving HIV-positive persons released from jail and prison as a means to extend the reach of the 'seek, test, treat and retain' (STTR) model into the community.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Jail: HIV testing, corrections case mgt | For all jail detainees regardless of HIV status, we observed the uptake of opt-out and opt-in HIV testing. For HIV-positive jail detainees leaving jail, we observed 1) health outcomes for corrections case management versus other than corrections case management, 2) the impact of an incentive to visit an HIV service organization after release from jail |
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| Prison: telemed, corrections case mgt | We compared outcomes for for HIV-positive prisoners before and after the implementation of telemedicine to deliver HIV medical care. For HIV-positive prisoners released from prison and returning to Chicago, we observed health outcomes for those enrolled in corrections case management those not enrolled in corrections case management. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Corrections case management | Behavioral | Corrections case management is a long-term (18-24 months) program that seeks to improve the linkage of HIV-positive persons recently released from jail or prison to community-based HIV care, retain them in care, and reduce recidivism. Compared to the long-standing Ryan White case management program, corrections case management has greater access to housing and a greater emphasis on employment. Clients completing the program are then linked to the Ryan White case management program. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in HIV viral load | baseline and 6, 12, 18 months post-baseline |
| Measure | Description | Time Frame |
|---|---|---|
| Change in CD4 cell count | baseline and 6, 12, 18 months post-baseline | |
| Change in community-level HIV viral load | baseline and 18 months post-baseline |
| Measure | Description | Time Frame |
|---|---|---|
| Change in adherence to HIV medication | baseline and 6, 12, 18 months post-baseline | |
| Change in visits to HIV medical care provider | baseline and 6, 12, 18 months post-baseline |
Inclusion Criteria:
Exclusion Criteria:
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Detainees in Cook County Jail, prisoners in the Illinois Department of Corrections
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| Name | Affiliation | Role |
|---|---|---|
| Lawrence J Ouellet, PhD | University of Illinois at Chicago | Principal Investigator |
| Jeremy D Young, MD | University of Illinois at Chicago | Principal Investigator |
| Chad Zawitz, MD | Cermak Health Services, Cook County | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Illinois Department of Corrections | Chicago | Illinois | 60601 | United States | ||
| University of Illinois at Chicago, School of Public Health, COIP |
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| ID | Term |
|---|---|
| D015658 | HIV Infections |
| D010349 | Patient Compliance |
| ID | Term |
|---|---|
| D000086982 | Blood-Borne Infections |
| D003141 | Communicable Diseases |
| D007239 | Infections |
| D015229 | Sexually Transmitted Diseases, Viral |
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Blood serum
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| Chicago |
| Illinois |
| 60607 |
| United States |
| Cermak Health Services, Cook County Jail | Chicago | Illinois | 60608 | United States |
| D012749 | Sexually Transmitted Diseases |
| D016180 | Lentivirus Infections |
| D012192 | Retroviridae Infections |
| D012327 | RNA Virus Infections |
| D014777 | Virus Diseases |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
| D007153 | Immunologic Deficiency Syndromes |
| D007154 | Immune System Diseases |
| D010342 | Patient Acceptance of Health Care |
| D000074822 | Treatment Adherence and Compliance |
| D015438 | Health Behavior |
| D001519 | Behavior |