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 与正义有关的与男性发生性行为的黑人男性(BMSM)特别容易感染艾滋病毒，而且经常 体验延迟吸收并受益于现有的艾滋病毒服务。地位中立的正义干预- 所涉及的BMSM是切合实际和迫切需要的，以解决艾滋病毒服务的社会和结构性障碍 (例如，失业)这一群体所经历的。我们的协作组优先考虑了四个状态中立 干预措施(即过渡性病例管理、就业导航[EN]、应急管理 干预[CMI]，以及雇主外展和支持[EOS]。将这些干预措施结合在一起将 最大限度地发挥其独立效力，并为改善艾滋病毒和艾滋病的可获得性提供重大承诺 为涉及司法的BMSM提供与就业有关的服务。我们将利用七个优先顺序的捆绑实施 支持采用、实施和维持以下方面的地位中立干预措施的战略 社区和刑事司法环境。规划中的多站点类型2混合动力车的总体目标 有效性--执行研究，J-Rise：消除社会和社会问题的相关执行战略 司法介入的BMSM对艾滋病毒服务的结构性障碍将同时评估其有效性 以及在司法和社区环境中实施两项成套的地位中立干预措施，以 改善艾滋病毒和就业相关服务的可及性。J-Rise由一个学者、社区和罪犯领导 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)司法管辖区合作和开展司法工作。 目的1.评价两种成套状态中性干预措施(中药与中药+EN+CMI)的疗效。 主要结果(90天内与艾滋病毒护理、PrEP护理和与就业有关的服务的联系)和 次要结果(接受精神健康和药物使用服务、保留艾滋病毒护理、病毒感染 打压、PrEP坚持和持续就业)涉及正义的BMSM。 目标2.评估捆绑在一起的执行战略和多个层面的执行成果 CFIR、RE-AIM和MIPA。主要实施成果包括可接受性、采用率、成本、保真度、 渗透性和可持续性。J-Rise将产生关于我们选择的实用程序的新信息 实施战略以及有关打包状态的有效性和成本的关键信息 中性干预措施，以优化多个地区涉及司法的BMSM的艾滋病毒和就业相关结果 每个司法管辖区。

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.