PRESENTER 
TITLE 
PH, EMAIL... 
BREAKING OUT: HIV TREATMENT AND CARE WHEN PLWHIV TRANSITION FROM CUSTODIAL SETTINGS INTO T...
PRESENTER 
TITLE 
PH, EMAIL... 
• Why is there a need for a transitional program for people with HIV leaving custody? 
• O...
PRESENTER 
TITLE 
PH, EMAIL... 
Why a transitional program? 
PLWHIV in custodial settings: 
•Seventh National HIV Strategy...
PRESENTER 
TITLE 
PH, EMAIL... 
Why a transitional program? (2) 
• In NSW correctional centres there are 35 – 40 known HIV...
PRESENTER 
TITLE 
PH, EMAIL... 
Partners: 1. Justice Health & Forensic Mental Health Network 
• Provides comprehensive cli...
PRESENTER 
TITLE 
PH, EMAIL... 
Mental Health: 
• 54% of females and 47% of males have been treated for an emotional or me...
PRESENTER 
TITLE 
PH, EMAIL... 
PRESENTATION TITLE 
Sub title 26pt 
•Body Copy size 22pt
PRESENTER 
TITLE 
PH, EMAIL... 
HIV 
•Current medical research and evidence supports all individuals living with HIV to co...
PRESENTER 
TITLE 
PH, EMAIL... 
Partners: 2. Adahps 
• Formerly known as the AIDS Dementia and HIV Psychiatry Service 
• A...
PRESENTER 
TITLE 
PH, EMAIL... 
Partners: 3. Community HIV teams 
Two teams in central Sydney: 
• Positive Central (Sydney...
PRESENTER 
TITLE 
PH, EMAIL... 
Referral Process 
Local custodial centre 
Justice Health & Forensic Mental Health Network ...
PRESENTER 
TITLE 
PH, EMAIL... 
Referral options 
•There are 2 community HIV teams in inner city Sydney 
•17 metropolitan ...
PRESENTER 
TITLE 
PH, EMAIL... 
Analysis 
• Information from Health records were analysed 
• Data was collated to examine ...
PRESENTER 
TITLE 
PH, EMAIL... 
Outcomes: Referrals (1) 
• There were 72 referrals to the project: 
•representing 51 uniqu...
PRESENTER 
TITLE 
PH, EMAIL... 
Aboriginal and TSI (2) 
25% 
75% 
Yes 
No 
Aboriginal or Torres Strait Islander
PRESENTER 
TITLE 
PH, EMAIL... 
Of 66 patients who were released from prison: 
•39% (n=26) were re-incarcerated 
5 peopl...
PRESENTER 
TITLE 
PH, EMAIL... 
Housing (4) 
0 
5 
10 
15 
20 
25 
30 
35 
40 
Yes 
No 
Unknown 
29% (n=19) had secure hou...
PRESENTER 
TITLE 
PH, EMAIL... 
Patient engagement (5) 
 Of the 59 referrals who were released at least 6 months prior to...
PRESENTER 
TITLE 
PH, EMAIL... 
Conclusion 
 The project was successful in establishing referral pathways for PLWHIV leav...
PRESENTER 
TITLE 
PH, EMAIL... 
Ways forward for the project 
 Maintaining referral pathways between Justice Health and c...
PRESENTER 
TITLE 
PH, EMAIL... 
Thank you 
Justice Health & Forensic Mental Health Network 
 Adahps, HIV Outreach Team, ...
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Gary Hampton - Aids Dementia & HIV Psychiatry Service - SESSION 1: Breaking Out: HIV Treatment and Care when PLWHIV (People Living with HIV) Transition from Custodial Settings into the Community

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Gary Hampton delivered the presentation at the 2014 Correctional Services Healthcare Conference.

The 2014 Correctional Services Healthcare Conference - addressing the gaps, promoting multidisciplinary care and improving the continuum of care into the community.

For more information about the event, please visit: http://bit.ly/correctionalsvs14

Published in: Health & Medicine
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Gary Hampton - Aids Dementia & HIV Psychiatry Service - SESSION 1: Breaking Out: HIV Treatment and Care when PLWHIV (People Living with HIV) Transition from Custodial Settings into the Community

  1. 1. PRESENTER TITLE PH, EMAIL... BREAKING OUT: HIV TREATMENT AND CARE WHEN PLWHIV TRANSITION FROM CUSTODIAL SETTINGS INTO THE COMMUNITY Gary Hampton, Michelle Merry, Leo Barreto, Jenny Douglas
  2. 2. PRESENTER TITLE PH, EMAIL... • Why is there a need for a transitional program for people with HIV leaving custody? • Organisational partners in the project • Project overview • Summary of outcomes • Where to from here Overview of presentation
  3. 3. PRESENTER TITLE PH, EMAIL... Why a transitional program? PLWHIV in custodial settings: •Seventh National HIV Strategy 2014 - 2017 •NSW HIV strategy 2012-1015: A New Era • Risk of experiencing treatment interruptions and loss to follow up for HIV care • Prior to this project there was no systematic referral pathway for PLWHIV transitioning from prison back to the community
  4. 4. PRESENTER TITLE PH, EMAIL... Why a transitional program? (2) • In NSW correctional centres there are 35 – 40 known HIV positive patients at any one time • About half are co-infected (HBV/HCV) and many have complex health and psychosocial needs • PLWHIV can be housed in any of the correctional centres around the state
  5. 5. PRESENTER TITLE PH, EMAIL... Partners: 1. Justice Health & Forensic Mental Health Network • Provides comprehensive clinical services to patients in correctional centres across the state • About 31 correctional centres in NSW • Full time custodial population ~11,000 (Sept. 2013) • 30,000+ new receptions annually • 150,000+ movements annually
  6. 6. PRESENTER TITLE PH, EMAIL... Mental Health: • 54% of females and 47% of males have been treated for an emotional or mental health problem Drug and Alcohol: • 84% of inmates reported ever having used illicit drugs • 44% of women and 42% of men have used illicit drugs in prison Justice & Forensic Mental Health Network (2) Justice Health Strategic Plan 2013-2017 2009 NSW Inmate Health Study
  7. 7. PRESENTER TITLE PH, EMAIL... PRESENTATION TITLE Sub title 26pt •Body Copy size 22pt
  8. 8. PRESENTER TITLE PH, EMAIL... HIV •Current medical research and evidence supports all individuals living with HIV to consider treatment with Anti-Retro Viral Therapy •Decision making to consider personal health benefits and risks, and reduction in transmission risk Justice & Forensic Mental Health Network (3) Aust. Department of Health, NSW Health, Aust. Society of HIV Medicine
  9. 9. PRESENTER TITLE PH, EMAIL... Partners: 2. Adahps • Formerly known as the AIDS Dementia and HIV Psychiatry Service • Adahps provides a statewide service for PLWHIV with complex needs such as cognitive impairment, neurological and mental health issues • Partnership model with clients and services
  10. 10. PRESENTER TITLE PH, EMAIL... Partners: 3. Community HIV teams Two teams in central Sydney: • Positive Central (Sydney LHD) • HIV Outreach Team (SE Sydney LHD) Team members comprise: • Social workers • Occupational therapists • Physiotherapists • Dietitians • Nurses • Case managers
  11. 11. PRESENTER TITLE PH, EMAIL... Referral Process Local custodial centre Justice Health & Forensic Mental Health Network coordinator Adahps worker Local HIV teams & NSW Sexual Health Network
  12. 12. PRESENTER TITLE PH, EMAIL... Referral options •There are 2 community HIV teams in inner city Sydney •17 metropolitan sexual health centres •25 regional and rural sexual health centres My role is to refer and educate community services
  13. 13. PRESENTER TITLE PH, EMAIL... Analysis • Information from Health records were analysed • Data was collated to examine common characteristics and themes associated with the population group • Consent process and referral pathway created • Feedback from clinicians
  14. 14. PRESENTER TITLE PH, EMAIL... Outcomes: Referrals (1) • There were 72 referrals to the project: •representing 51 unique individuals •over a 3 year period
  15. 15. PRESENTER TITLE PH, EMAIL... Aboriginal and TSI (2) 25% 75% Yes No Aboriginal or Torres Strait Islander
  16. 16. PRESENTER TITLE PH, EMAIL... Of 66 patients who were released from prison: •39% (n=26) were re-incarcerated 5 people refused a referral to the program while in prison Re-incarceration and participation (3)
  17. 17. PRESENTER TITLE PH, EMAIL... Housing (4) 0 5 10 15 20 25 30 35 40 Yes No Unknown 29% (n=19) had secure housing on release
  18. 18. PRESENTER TITLE PH, EMAIL... Patient engagement (5)  Of the 59 referrals who were released at least 6 months prior to data collection: • 78% (n=46) were still linked in with HIV health supports • 22% (n=13) people were lost to follow up after release
  19. 19. PRESENTER TITLE PH, EMAIL... Conclusion  The project was successful in establishing referral pathways for PLWHIV leaving correctional centres in NSW  The project bridges a gap in service delivery between leaving correctional centres and accessing community health services  Service retention rates have been high, and lost to follow up has been minimal
  20. 20. PRESENTER TITLE PH, EMAIL... Ways forward for the project  Maintaining referral pathways between Justice Health and community health services  Working towards greater access for inmate populations to existing community health services Improving communication between Justice Health and community health Breaking down institutional barriers
  21. 21. PRESENTER TITLE PH, EMAIL... Thank you Justice Health & Forensic Mental Health Network  Adahps, HIV Outreach Team, Positive Central  Geoff Cole, Heidi Giewald & Carol Gohari (Adahps), Pene Manolas & Alison Cowell (Positive Central) & David Murray (HIV Outreach Team)

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