Seek, Test, Treat: An Integrated Jail-Prison-Community Model for Illinois

寻求、测试、治疗：伊利诺伊州监狱-监狱-社区一体化模式

• 批准号: 8153854
• 负责人: LAWRENCE J OUELLET
• 金额: $ 149.75万
• 依托单位: UNIVERSITY OF ILLINOIS AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-09-30 至 2015-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8153854
• 关键词: AIDS/HIV problem; Address; Affect; Area; CD4 Positive T Lymphocytes; Caring; Case Management; Cell Count; Characteristics; Chicago; Communities; Counseling; County; Detection; Elements; HIV; HIV Infections; HIV Seropositivity; Human immunodeficiency virus test; Illinois; Imprisonment; Incentives; Individual; Jail; Left; Link; Medical; Modeling; Neighborhoods; Newly Diagnosed; Partner Notification; Persons; Population; Prevalence; Primary Health Care; Prisoner; Prisons; Provider; Public Health; Research; Risk; Services; Social Network; Telemedicine; Testing; Time; Translating; Treatment Protocols; Universities; Viral Load result; Visit; base; cooking; experience; health organization; improved; public health relevance; standard care; standard of care; systems research; transmission process; uptake

DESCRIPTION (provided by applicant): The proposed study constructs and evaluates a Seek, Test, Treat (STT) model that begins at entrance to jail, continues through prison (for those so sentenced), and extends into the community after release from jail and prison. The model has five components: 1) opt-out HIV testing in jail and prison, 2) "transition" case management for HIV-positive persons leaving jail and prison, 3) university-based telemedicine for all HIV-positive prison inmates, 4) incentives to visit designated community-based organizations following release from jail as a means to maintain post-release contact with HIV-positive jail detainees, and 5) social network HIV testing offered to released HIV-positive jail detainees receiving standard of care, and partner notification offered to all detainees and inmates who are HIV-positive. The study will assess each component of the STT model and its overall impact on community-level HIV viral load. PUBLIC HEALTH RELEVANCE: The project aims to provide a model for integrating jails, prisons, community-based organizations, health departments, university-based medical providers, and agencies that oversee Ryan White services to significantly improve the identification of new HIV infections and the treatment of HIV infections in correctional populations, to extend those gains to communities experiencing high levels of incarceration, and to thereby reduce transmission of HIV in those communities.

描述（由申请人提供）：拟议的研究构建并评估了“寻求、测试、治疗”（STT）模型，该模型从入狱开始，持续到监狱（对于被判刑的人），并在出狱后延伸到社区，监狱。该模型有五个组成部分：1) 在监狱和监狱中选择退出艾滋病毒检测，2) 对离开监狱和监狱的艾滋病毒阳性人员进行“过渡”案件管理，3) 为所有艾滋病毒阳性监狱囚犯提供基于大学的远程医疗，4 ) 出狱后访问指定社区组织的激励措施，作为与艾滋病毒呈阳性的监狱被拘留者释放后保持联系的一种手段，以及 5) 向接受标准护理的出狱艾滋病毒呈阳性的监狱被拘留者提供社交网络艾滋病毒检测，以及合作伙伴通知向所有艾滋病毒呈阳性的被拘留者和囚犯提供。该研究将评估 STT 模型的每个组成部分及其对社区层面 HIV 病毒载量的总体影响。 公共卫生相关性：该项目旨在提供一个模型，将看守所、监狱、社区组织、卫生部门、大学医疗服务提供者以及负责监督 Ryan White 服务的机构结合起来，以显着改善新发艾滋病毒感染的识别和治疗减少惩教人口中的艾滋病毒感染率，将这些成果扩大到监禁率较高的社区，从而减少这些社区中艾滋病毒的传播。