J-RISE: Relevant Implementation Strategies to Eliminate the social and structural barriers to HIV services among Justice-involved Black men who have sex with men

项目摘要 与男性发生性关系的黑人男性（BMSM）特别容易感染艾滋病毒， 艾滋病毒感染者接受艾滋病毒服务的时间较晚，无法从现有的艾滋病毒服务中受益。公正的中立干预- 参与BMSM是相关的，迫切需要解决艾滋病毒服务的社会和结构性障碍 (e.g.,这一群体所经历的。我们的合作优先考虑了四个中立状态 干预（即，过渡个案管理、就业指引、应变管理 干预[CMI]和雇主外展和支持[EOS]。将这些干预措施结合起来， 最大限度地发挥其独立效力，并为改善艾滋病毒的获得提供重大承诺， 为涉及司法的BMSM提供就业相关服务。我们将利用七个优先捆绑实施 战略，以支持通过，实施和可持续的地位中立的干预措施， 社区和刑事司法环境。计划中的多站点2型混合动力车的总体目标 J-RISE：消除社会和环境影响的相关执行战略 在涉及司法的BMSM中，艾滋病毒服务的结构性障碍是同时评估有效性 并在司法和社区环境中实施两项一揽子地位中立干预措施， 改善获得艾滋病毒和就业相关服务机会。J-RISE是由一个学术，社区和罪犯领导的 司法合作，并在伊利诺伊州和路易斯安那州的三个终止艾滋病毒流行（EHE）管辖区进行。 目标1.评价两种包装的状态中性干预（TCM与TCM+EN+CMI）对以下方面的有效性： 主要成果（90天内与艾滋病毒护理、PrEP护理和就业相关服务的联系），以及 次要结局（接受心理健康和药物使用服务，继续接受艾滋病毒护理， 抑制，PrEP持久性和持续就业）之间的正义参与BMSM。 目标2.在多个层面评估捆绑的实施战略和实施成果， CFIR、RE-AIM和MIPA。关键的实施成果包括可接受性、采用、成本、保真度、 渗透和可持续性。J-RISE将生成有关我们选择的效用的新颖信息 实施战略以及关于一揽子地位的有效性和成本的重要信息 中立的干预措施，以优化艾滋病毒和就业相关的结果，为司法参与BMSM在多个 EHE管辖区。

Project Summary Justice-involved Black men who have sex with men (BMSM) are particularly vulnerable to HIV, and oftentimes experience delayed uptake and benefit from available HIV services. Status neutral interventions for justice- involved BMSM are pertinent and urgently needed to address the social and structural barriers to HIV services (e.g., unemployment) experienced by this population. Our collaborative has prioritized four status neutral interventions (i.e., transitional case management [TCM], employment navigation [EN], contingency management intervention [CMI], and employer outreach and support [EOS). Combining these interventions together will maximize their independent effectiveness and provide significant promise for improving access to HIV and employment-related services for justice-involved BMSM. We will utilize seven prioritized bundled implementation strategies to support the adoption, implementation, and sustainability of status neutral interventions within community and criminal justice settings. The overarching goals of the planned multi-site type 2 hybrid effectiveness-implementation study, J-RISE: Relevant Implementation Strategies to Eliminate the social and structural barriers to HIV services among Justice-involved BMSM is to simultaneously evaluate the effectiveness and implementation of two packaged status neutral interventions within justice and community settings to improve access to HIV and employment-related services. J-RISE is led by an academic, community, and criminal justice collaborative and conducted in three Ending the HIV Epidemic (EHE) jurisdictions in Illinois and Louisiana. Aim 1. Evaluate the effectiveness of two packaged status neutral interventions (TCM versus TCM+EN+CMI) on primary outcomes (linkages to HIV care, PrEP care, and employment-related services within 90 days) and secondary outcomes (receipt of mental health and substance use services, retention in HIV care, viral suppression, PrEP persistence, and sustained employment) among justice-involved BMSM. Aim 2. Evaluate the bundled implementation strategies and implementation outcomes at multiple levels using CFIR, RE-AIM, and MIPA. Key implementation outcomes include acceptability, adoption, costs, fidelity, penetration, and sustainability. J-RISE will generate novel information about the utility of our chosen implementation strategies as well as critical information about the effectiveness and cost of packaged status neutral interventions to optimize HIV and employment-related outcomes for justice-involved BMSM in multiple EHE jurisdictions.