This research study proposes to embed HIV testing outreach workers from a young adult focused medical and HIV treatment program into an alternative sentencing program to deliver a new service delivery model (Link2CARE) that integrates evidence-based protocols for justice-involved young adults to: a) promote HIV and STI testing, and HIV and SU risk screening, b) provide onsite intervention, and c) cross-system linkage to HIV, STI, and SU care. Phase 1 has already been completed. In phase 1, the intervention components were adapted for use among justice involved young adults and the resulting protocols were piloted with justice involved young adults, finalizing the resulting 4-session Link2CARE intervention. In phase 2, we will test Link2CARE among N=450 justice-involved young adults enrolled at the alternative sentencing program and conduct process evaluations with N=15 alternative sentencing program staff.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
307
The Link2CARE intervention consists of 4 sessions. Session 1 consists of a one-on-one meeting with a Health Coach, during which participants will be offered an oral rapid HIV test and STI test. Sessions 2, 3, and 4 are group-based. During these sessions, participants will engage in discussions and activities regarding sexual and substance use risk behaviors.
Kings County Criminal Court
Brooklyn, New York, United States
Total Number of Unprotected Anal and Vaginal Sex Occasions in Past 3 Months
measured by participant report in the "Sexual Risk" section of the questionnaires
Time frame: at 12-month follow-up
Frequency of Young Adults Substance Use in Past 30 Days
measured by participant report in the "Substance Use" section of the questionnaires
Time frame: at 3-, 6-, and 12-month follow-ups
Number of Young Adults Referred to Substance Use Treatment
measured by Health Coach report in the Health Coach logs and participant report in the "Substance Use Referral" section of the questionnaires
Time frame: at 3-, 6-, and 12-month follow-ups
Number of Young Adults Attending Intake Plus One Treatment Session
measured by Health Coach report in the Health Coach logs and participant report in the "Substance Use Treatment" section of the questionnaires
Time frame: at 3-, 6-, and 12-month follow-ups
Acceptance of STI Testing (Yes/no)
measured by Health Coach report in the "Session 1 Sexual Risk" questionnaire
Time frame: at day 1 of enrollment
Any STI Testing
measured by participant report in the "STI Testing" section of the questionnaires
Time frame: between 6- and 12-month follow-ups
Number of STI+ Young Adults Referred to STI Treatment
measured by the Health Coach report in the Health Coach Logs and participant report in the "STI Referral" section of the questionnaires
Time frame: at 3-, 6-, and 12-month follow-ups
Number of STI+ Young Adults Attending 1 or More Treatment Appointments
measured by Health Coach report in the Health Coach logs and participant report in the "STI Treatment" section of the questionnaires
Time frame: at 3-, 6-, and 12-month follow-ups
Acceptance of HIV Testing (Yes/no)
measured by Health Coach report in the "Session 1 Sexual Risk" questionnaire
Time frame: at day 1 of enrollment
Any HIV Testing
measured by participant report in the "HIV Testing" section of the questionnaires
Time frame: between 6-month and 12-month follow-ups
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