Planning For SUCCESS

描述(由申请人提供)：摘要每年，美国每7名艾滋病毒携带者中就有1人在监狱中度过难关。短期入狱与艾滋病毒治疗中断的可能性增加八倍有关。艾滋病毒患者在入狱前可能与护理有关，但在获释后可能不会在门诊艾滋病毒护理中跟进，因为即使是在监狱里呆几个星期也可能导致失业，导致无家可归和其他社会压力。被释放者往往把解决这些问题放在重建医疗保健之前的优先位置。药物滥用可能导致他或她被捕和拘留；解决成瘾问题往往是保留艾滋病毒护理的关键。由于监狱是国家寻求-检测-治疗和保留艾滋病毒护理战略的严重障碍，我们希望建立证据，从监狱开始进行密集案件管理的创新干预，并辅之以出狱后的手机技术，这是可以接受的，并可以促进社区对艾滋病毒获释人员的保留照顾。这项拟议的可行性研究名为规划成功(持续的、不间断的护理连接、进入服务和抑制)，将测试这种干预及其评估工具的后勤和接受度。Success可行性研究的结果将为未来随机、对照试验和成本研究的规划提供参考，以检验强化强化优势病例管理与常规护理对这一难以治疗的人群的长期有效性。我们的可行性研究将确定：1)招募的政治行动委员会；2)接受入狱后照顾的干预被释放人的比例是多少； 以及3)出院后第一年内两次去看艾滋病毒提供者的比例是多少。在12个月后，我们还将检查病毒载量以及与药物滥用和精神健康治疗的联系。

DESCRIPTION (provided by applicant): Abstract Annually, 1 in 7 persons with HIV in the US cycles through jail. Short stays in jail are associated with an eight-fold increase in the likelihod of HIV treatment disruption. An HIV+ person may have been linked to care before incarceration, but might not follow up in outpatient HIV care after release because even a few week stay in jail can lead to the loss of a job, resulting homelessness and other social stressors. The releasee often prioritizes tackling these issues above reestablishing medical care. Substance abuse could have precipitated his or her arrest and detainment; addressing addiction issues are frequently key to retention in HIV care. Since jail is a serious impediment to a national Seek-Test-Treat and Retain strategy for HIV care, we want to build evidence for an innovative intervention of intensive case management beginning in jail, and supplemented with cell phone technology post-discharge, that is acceptable and can promote retention in care for HIV+ jail releasees in the community. This proposed feasibility study, Planning for SUCCESS (Sustained, Unbroken Connections to Care, Entry Services, and Suppression), will test the logistics and acceptance of this intervention and its evaluation tools. Findings from this feasibility study of SUCCESS will inform the planning of a future randomized, controlled trial and cost study to examine long-term effectiveness of intensive Strengths- Based Case Management compared with usual care for this hard-to-treat population. Our feasibility study will ascertain: 1) the pac of recruitment, 2) what proportion of releasees receiving the intervention link to care after jail, and 3) what proportion are retained in care with two visits to an HIV provider within the first yea after release. At 12 months, we will also examine viral loads and linkage to substance abuse and mental health treatment.