Belenko Steven, Hiller Matthew, Visher Christy, Copenhaver Michael, O'Connell Daniel, Burdon William, Pankow Jennifer, Clarke Jennifer, Oser Carrie
1Department of Criminal Justice, Temple University, Philadelphia, PA, USA.
J Correct Health Care. 2013 Oct;19(4):293-310. doi: 10.1177/1078345813499313.
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.
在被监禁人群中，感染艾滋病毒的风险极高。惩教机构在实施基于证据的艾滋病毒预防、检测和治疗指南及干预措施方面行动迟缓。新兴的实施科学领域侧重于组织干预措施，以促进采用和实施基于证据的做法。一项对刑事司法药物滥用治疗研究（CJ-DATS）中惩教机构合作伙伴的调查显示，艾滋病毒预防、检测和医疗护理方面的政策和做法差异很大，一些惩教机构和设施与国家指南高度匹配和/或实施了基于证据的干预措施。其他机构，主要是由于资源有限，在提供最佳艾滋病毒服务做法方面存在诸多差距。本文简要概述了一项新的CJ-DATS合作研究方案，该方案以调查结果为依据，旨在测试一项组织层面的干预措施，以减少惩教机构中艾滋病毒服务提供方面的差距。
