Strategies to enhance linkages between care for HIV/AIDS in jail and community settings
Strategies to enhance linkages between care for HIV/AIDS in jail and community settings
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DOI：
10.1080/09540121.2010.507738
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发表时间：
2011-01-01
影响因子：
1.7
通讯作者：
Tinsley, Melinda J.
中科院分区：
文献类型：
--
作者：
Draine, Jeffrey;Ahuja, Divya;Tinsley, Melinda J.
过去40年来，美国大规模监禁政策和刑事司法系统的扩张对受吸毒和艾滋病影响的个人和社区造成了沉重的负担。尽管不太理想，但监狱为诊断、治疗和实施有效干预提供了独特的机会。然而，监狱在艾滋病毒检测、治疗和护理连续性方面的作用尚未得到系统的审查。本文回顾了10个示范点的服务战略和背景，资助开发创新的方法，提供护理和治疗艾滋病毒感染者在监狱环境中谁是返回他们的社区。这些地点实施了不同的干预战略;每一套都有独特的政策和服务系统背景。各机构之间和各系统之间为执行这些干预措施而开展的合作被视为特别具有挑战性的工作。我们预计在该计划持续期间，这些网站将总共为700 - 1000人提供服务。在本文中，我们回顾了10个站点开发的服务环境和策略。个人和多地点评价旨在提供关于监狱的检测、治疗和社区联系的新数据，这将进一步发展我们在这些环境中有效干预战略的知识基础。
The policies of mass incarceration and the expansion of the criminal justice system in the USA over the last 40 years have weighed heavily on individuals and communities impacted by drug use and HIV disease. Though less than ideal, jails provide a unique opportunity to diagnose, treat and implement effective interventions. The role of jails in HIV detection, treatment, and continuity of care, however, has yet to be systematically examined. This paper reviews the service strategies and contexts for 10 demonstration sites funded to develop innovative methods for providing care and treatment to HIV-infected individuals in jail settings who are returning to their communities. The sites have implemented varied intervention strategies; each set in unique policy and service system contexts. Collaboration among agencies and between systems to implement these interventions is viewed as particularly challenging undertakings. We anticipate the sites will collectively serve 700-1000 individuals across the duration of the initiative. In this paper, we review the service contexts and strategies developed by the 10 sites. The individual and multi-site evaluations aim to provide new data on testing, treatment, and community linkages from jails that will further develop our knowledge base on effective intervention strategies in these settings.