Criminal Justice Coordinated Transitional Care

University of Wisconsin, Madison219 enrolled

Overview

This project aims to enroll 220 incarcerated individuals living with HIV, Hepatitis C (HCV), or history of substance misuse preparing for release into a pilot implementation study to test the feasibility and acceptability of an adapted Coordinated Transitional Care intervention in a Criminal Justice setting (CJC-TraC). Participants can expect to be on study for up to 6 months.

This protocol describes the second, implementation phase of a 5-year NIH-funded research project designed to evaluate post-incarceration health care utilization and outcomes for underserved people living with HIV, HCV and substance use disorder. In the first study phase, conducted from 2020-21, the investigators analyzed Wisconsin Medicaid data to characterize the baseline level of outpatient care utilization for adults during their first 6 months after release from prison, and conducted formative research necessary to adapt an existing transitional care intervention, called C-TraC, to support individuals leaving prison. The current project aims to enroll participants in a pilot implementation study to test the feasibility and acceptability of the adapted intervention in a criminal justice setting, which has been given the name "CJC-TraC." Participants will be enrolled from one of two institutions: * men from Oakhill Correctional Institute (OCI) * women from the Wisconsin Women's Correctional System (WWCS) Primary Objectives: To evaluate the feasibility and acceptability of CJC-TraC when implemented in a state prison system. Secondary Objectives: To gather preliminary evidence describing the effectiveness of CJC-TraC for improving the rate of outpatient care utilization.

Study Type

INTERVENTIONAL

Allocation

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

219

Conditions

HIV Hepatitis C Substance Use Disorders

Interventions

CJC-TraCOTHER

CJC-TraC utilizes a nurse case manager (NCM) to coordinate the participant's transitional care through release from a correctional facility. The NCM will visit either in person or via telehealth with the participant up to 4 times while incarcerated, and up to 4 times after release.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Able to understand and speak in English * Plans to reside in Wisconsin after release * Eligible for Wisconsin Medicaid and willing to enroll prior to release * Has a history of one or more of the following: current HIV infection, current or past HCV infection, identified need for substance use related services based on Correctional Offender Management Profiling for Alternative Sanctions (COMPAS) assessment * Anticipated release date (must be within 6 months of review) Exclusion Criteria: * Unable to provide informed consent form or impaired ability to make decisions * Planned discharge to another correctional facility or other carceral setting (e.g. release to jail or immigration detention center)

Locations (2)

Oakhill Correctional Institution

Oregon, Wisconsin, United States

Robert E. Ellsworth Correctional Center

Union Grove, Wisconsin, United States

Outcomes

Primary Outcomes

Feasibility Outcome: Number of Participants Who Are Enrolled and Complete the Baseline Study Assessment

The number who successfully enrolled and completed the baseline assessment demonstrates the feasibility of engaging the target population in the prison setting.

Time frame: at enrollment, up to 1 day

Feasibility Outcome: Number of Pre-release CJC-TraC Intervention Sessions Completed With the Nurse Case Manager for Each Participant

The investigators plan for 3 pre-release sessions with additional sessions as needed. The results will be reported in total and for each institution.

Time frame: pre-release, up to 3 months

Feasibility Outcome: Number of Post-release Telephone Contact Attempts Between the CJC-TraC Nurse Case Manager and Study Participants

The investigators plan for 2 post-release sessions with additional sessions as needed.

Time frame: post-release, up to 6 months

Feasibility Outcome: Number of Study Participants Who Are Retained in Follow-up for Three Months and Complete the End-of-study Assessment

Time frame: within 3-months following release (up to 6 months on study)

Acceptability Measured by the Number of Study Participants Who Rated the Volume of Pre-release Intervention Sessions as Appropriate

Of participants who enroll and complete a follow up assessment, percentage of participants who responded to questions soliciting their perspectives about the intervention usefulness.