Planning For SUCCESS

描述（由申请人提供）：摘要每年，在美国，每7个艾滋病毒感染者中就有1个在监狱中度过。在监狱中短暂停留与艾滋病毒治疗中断的可能性增加八倍有关。艾滋病毒阳性者在入狱前可能与护理有关，但在释放后可能不会在门诊艾滋病毒护理中跟进，因为即使在监狱中呆几周也会导致失去工作，导致无家可归和其他社会压力。被释放者通常优先考虑解决这些问题，而不是重建医疗保健。药物滥用可能促使他或她被捕和拘留;解决成瘾问题往往是艾滋病毒护理的关键。由于监狱是一个严重的障碍，以国家寻求测试治疗和保留艾滋病毒护理战略，我们希望建立证据，密集的病例管理的创新干预开始在监狱，并补充手机技术后释放，这是可以接受的，可以促进保留在照顾艾滋病毒+监狱释放在社区。这项拟议的可行性研究，规划成功（持续的，不间断的连接到护理，入境服务和抑制），将测试后勤和接受这种干预及其评估工具。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计划提供信息，以检查与常规护理相比，强化优势病例管理对这一难以治疗人群的长期有效性。我们的可行性研究将确定：1）招募的pac，2）多大比例的释放人员接受干预链接，以照顾监狱后， （3）在释放后的第一是的内，有多少比例的人接受了两次艾滋病毒提供者的治疗。在12个月时，我们还将检查病毒载量以及与药物滥用和心理健康治疗的联系。

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.