Planning for SUCCESS

Emory University113 enrolled

Overview

Planning for SUCCESS (Sustained, Unbroken Connections to Care, Entry Services, and Suppression) is a project to improve the connection to community care for HIV infected persons leaving Fulton County Jail or Atlanta City Detention Center in Atlanta. Hypothesis: Participants who receive the intervention will be more likely to link to medical care after jail release than similar participants who do not receive the intervention. Rationale and objective: This project aims to make sure HIV positive persons leaving jail maintain medical care. Case managers will use strength based case management and phone texting technology to improve release's connections to care in the community. This study will have extensive tracking of outcomes. The key outcome will be whether HIV infected participants receiving an intervention experience suppression of their viral load after release from jail . The investigators wish to demonstrate the ability to recruit participants into the SUCCESS intervention and repeatedly check community medical records to see how well their infection is being controlled after they linked to care. Investigators also want to conduct a survey at baseline, 3 months and 12 months. Investigators will compare the viral load of participants receiving the intervention to participants passing through the jail who do not receive the outcome.

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Enrollment

113

Conditions

HIV

Eligibility

Sex: ALLMin age: 18 YearsMax age: 99 Years

Medical Language ↔ Plain English

Inclusion Criteria: * HIV infected (HIV+); age of or over 18 years; * Mentally able to give consent; understand spoken English; * Detained or sentenced in either the Fulton County Jail or the Atlanta City Detention Center; and * Likely to leave within 6 weeks Exclusion Criteria: * Unable to give consent because of mental illness or inebriation; * A recent participant in a randomized trial conducted by the investigators of an intervention to increase retention in HIV care (e.g., ARTAS)

Outcomes

Primary Outcomes

HIV viral load

HIV viral load can be drawn; obtaining it shows that the person is in care. Ideally, it should be suppressed 12 months out of jail. One measurement of viral load within three months after release will demonstrate linkage; two clinical visits occurring within 12 months post release, with at least 2 clinical visits spaced a minimum of 3 months apart, will indicate retention.

Time frame: 12 months after release from jail

Secondary Outcomes

Show feasibility of conducting protocol

Demonstrate that 14 persons can be recruited per month and that delivery of the intervention is feasible.

Time frame: Four months