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

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

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.

MeSH terms

  • Adult
  • Anti-HIV Agents / therapeutic use
  • Continuity of Patient Care*
  • Female
  • HIV Infections / drug therapy
  • HIV Infections / therapy*
  • Humans
  • Male
  • Medication Adherence / statistics & numerical data
  • Middle Aged
  • New York City
  • Patient Outcome Assessment
  • Prisoners* / statistics & numerical data
  • Prisons / organization & administration

Substances

  • Anti-HIV Agents