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J Correct Health Care. 2013 Oct;19(4):293-310. doi: 10.1177/1078345813499313.

Policies and practices in the delivery of HIV services in correctional agencies and facilities: results from a multisite survey.

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1Department of Criminal Justice, Temple University, Philadelphia, PA, USA.


HIV risk is disproportionately high among incarcerated individuals. Corrections agencies have been slow to implement evidence-based guidelines and interventions for HIV prevention, testing, and treatment. The emerging field of implementation science focuses on organizational interventions to facilitate adoption and implementation of evidence-based practices. A survey of correctional agency partners from the Criminal Justice Drug Abuse Treatment Studies (CJ-DATS) revealed that HIV policies and practices in prevention, detection, and medical care varied widely, with some corrections agencies and facilities closely matching national guidelines and/or implementing evidence-based interventions. Others, principally attributed to limited resources, had numerous gaps in delivery of best HIV service practices. A brief overview is provided of a new CJ-DATS cooperative research protocol, informed by the survey findings, to test an organization-level intervention to reduce HIV service delivery gaps in corrections.


HIV policies; correctional health care; evidence-based practice; implementation; inmates

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