Department of Infectious Diseases, MetroHealth Medical Center, 2500 MetroHealth Drive, Cleveland, OH, 44109, USA.
Case Western Reserve University School of Medicine, Cleveland, OH, USA.
AIDS Behav. 2019 Apr;23(4):966-972. doi: 10.1007/s10461-018-2316-x.
Continuous and coordinated HIV care is essential for persons living with HIV to benefit from the advances in medical treatment of the disease. Approximately one in seven individuals living with HIV pass through correctional facilities annually. While sentenced individuals may receive discharge planning services, detainees in local jails usually do not. The multisite evaluation of the EnhanceLink initiative demonstrated that jail based services including discharge planning were associated with high rates of linkage to community HIV care upon release. Follow up for the multisite evaluation was limited to 6 months. This paper extends follow up to 12 months at one site and demonstrates that clients who were linked by the jail based case manager to a Ryan White community based case manager were more than nine times more likely to be retained in care at 12 month post release. (OR 9.39, CI 1.11-79.12).
连续协调的艾滋病毒护理对于艾滋病毒感染者从疾病的医学治疗进展中获益至关重要。每年大约有七分之一的艾滋病毒感染者会经过惩教设施。虽然被判服刑的人可能会获得出院计划服务，但当地监狱的被拘留者通常不会。EnhanceLink 计划的多地点评估表明，监狱内的服务包括出院计划与释放后与社区艾滋病毒护理的高联系率相关。多地点评估的随访时间限制为 6 个月。本文将随访时间延长至一个地点的 12 个月，并表明通过监狱案件经理与 Ryan White 社区案件经理联系的客户在释放后 12 个月内更有可能保留在护理中。（OR 9.39，CI 1.11-79.12）。
