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Am J Public Health. 2015 Feb;105(2):351-7. doi: 10.2105/AJPH.2014.302234.

Health outcomes for HIV-infected persons released from the New York City jail system with a transitional care-coordination plan.

Author information

1
Paul A. Teixeira, Alison O. Jordan, Dipal Shah, and Homer Venters are with the New York City Department of Health and Mental Hygiene, Queens, New York. Nicolas Zaller is with the Division of Infectious Diseases, The Miriam Hospital, Providence, RI, and Alpert Medical School, Brown University, Providence.

Abstract

OBJECTIVES:

We sought to assess 6-month outcomes for HIV-infected people released from New York City jails with a transitional care plan.

METHODS:

Jail detainees in New York City living with HIV who accepted a transitional care plan during incarceration were asked to participate in a multi-site evaluation aimed at improving linkages to community-based care. The evaluation included a 6-month follow-up; HIV surveillance data were used to assess outcomes for those considered lost to follow-up.

RESULTS:

Participants (n=434) completed baseline surveys during incarceration in a jail in New York City. Of those seen at 6 months (n=243), a greater number were taking antiretroviral medications (92.6% vs 55.6%), had improved antiretroviral therapy adherence (93.2% vs 80.7%), and reported significant reductions in emergency department visits (0.20 vs 0.60 visits), unstable housing (4.15% vs 22.4%), and food insecurity (1.67% vs 20.7%) compared with baseline.

CONCLUSIONS:

Transitional care coordination services facilitate continuity of care and improved health outcomes for HIV-positive people released from jail.

PMID:
25521890
PMCID:
PMC4318285
DOI:
10.2105/AJPH.2014.302234
[Indexed for MEDLINE]
Free PMC Article

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