The document discusses a project called EnhanceLink that provided HIV testing and linkage to care services for individuals being released from 20 jails over 6 years, finding that 26% of those enrolled had suppressed viral loads 6 months after release, with involvement of case managers in care being a key factor of success. It also presents results of an evaluation and cost analysis finding the interventions were cost-effective from a societal perspective.
The goal of Integrating HIV Innovative Practices (IHIP) is to enable health care providers to implement proven innovations in HIV care and services within their own practices. This Webinar is the second in a three-part series exploring innovative approaches to delivering oral health care and services to people living with HIV/AIDS, featuring grantees of the Health Resources and Services Administration’s Special Projects of National Significance (SPNS) Innovations in Oral Health Care Initiative (Oral Health Initiative).
This Webinar outlines dental case management programs at the AIDS Care Group (ACG) in Chester, PA and the Native American Health Center (NAHC) in San Francisco, CA. The presenters include Dr. Howell Strauss and Mr. Nelson Diaz from ACG; and Dr. Carolyn Brown and Ms. Lucy Wright, RDH, representing the NAHC. The presentation details the pros, cons, and considerations of dental case management from administrative and clinical perspectives. The presenters also provide tips for being a good dental case manager and how this can result in improved health outcomes.
The goal of Integrating HIV Innovative Practices (IHIP) is to enable health care providers to implement proven innovations within their own practices and clinics. This Webinar is the first in a three part series featuring grantees of the Health Resources and Services Administration’s Special Projects of National Significance (SPNS) Enhancing Linkages to HIV Care & Services in Jail Settings Initiative (Jail Linkages Initiative), as they share lessons learned and advice for others hoping to create or expand similar programs.
Explore how to secure buy-in and foster partnerships within correctional settings, as well as how to navigate the “culture of corrections.” Hannah Zellman of Philadelphia FIGHT, a SPNS Jail Linkages grantee, will present alongside Dr. Linda Rose Frank and Debra D’Alessandro of the PA/MidAtlantic AIDS Education and Training Center about the work their organizations have done individually and collaboratively in the corrections setting.
The goal of Integrating HIV Innovative Practices (IHIP) is to enable health care providers to implement proven innovations in HIV care and services within their own practices. This Webinar is the third in a three-part series exploring innovative approaches to delivering oral health care and services to people living with HIV/AIDS, featuring grantees of the Health Resources and Services Administration’s Special Projects of National Significance (SPNS) Innovations in Oral Health Care Initiative (Oral Health Initiative).
This Webinar explores the clinical aspects of oral health care for people living with HIV/AIDS (PLWHA). The presenters include Dr. David Reznik of Grady Health System in Atlanta, GA and HIVdent and Ms. Helene Bednarsh, MPH of Boston Public Health Commission in Boston, MA and HIVdent. Dr. Reznik and Ms. Bednarsh detail common oral health diseases among HIV-infected people, as well as the prevention, detection, and treatment of these diseases.
The intersection of opioid use and HIV is well documented. More than one-third of all AIDS cases in the U.S. are directly or indirectly linked to injection drug use. Additionally, dependence and abuse of pain relievers is on the rise; people living with HIV/AIDS who suffer from chronic pain may be at particular risk. Opioids are highly addictive and mortality among illicit opioid users is estimated at 13 times that of the general population. The SPNS Buprenorphine Initiative investigated the effectiveness of integrating buprenorphine opioid abuse treatment into HIV primary care settings.
This Webcast is the first in a series under the new SPNS Integrating HIV Innovative Practices project (www.careacttarget.org/ihip) to assist providers in replicating SPNS work in their sites. This Webcast will introduce providers to the SPNS Buprenorphine Initiative, its findings, its synergy with the National HIV/AIDS Strategy, and provide an overview of opioid use and HIV.
The subsequent Webcast in the series will examine the clinical aspects of buprenorphine therapy, best practices, and implementation guidance. See also Integrating Buprenorphine Therapy Into HIV Primary Care Settings, a monograph on best practices, available at: https://careacttarget.org/content/integrating-buprenorphine-therapy-hiv-primary-care-settings.
This Webinar provides an overview of common oral health barriers for people living with HIV/AIDS (PLWHA) and the importance of overcoming these barriers. It will also share some of the ways HRSA has helped link PLWHA to oral health care, including the SPNS Oral Health Initiative. Featured presenters include:
- Dr. Mahyar Mofidi; Branch Chief of the Division of Community HIV/AIDS Programs and Chief Dental Officer of the HRSA HIV/AIDS Bureau
- Jane Fox, MPH; Project Director of SPNS Oral Health Initiative Evaluation Center for HIV and Oral Health (ECHO), Boston University School of Public Health.
The goal of Integrating HIV Innovative Practices (IHIP) is to enable health care providers to implement proven innovations within their own practices and clinics. This Webinar is the second in a three part series featuring grantees of the Health Resources and Services Administration’s Special Projects of National Significance (SPNS) initiative on Jail Linkages, as they share lessons learned and advice for others hoping to create or expand similar programs.
Learn how to build a new jail linkage program and what to consider for expanding an existing one. Jail Linkages SPNS grantees—including Dr. Timothy Flanigan of Miriam Hospital, Alison Jordan of New York City Department of Health and Mental Hygiene, and Dr. Ann Avery of Care Alliance Health Center describe the steps their programs took to implement their respective jail linkage programs, and provide advice for others hoping to replicate this work.
The goal of Integrating HIV Innovative Practices (IHIP) is to enable health care providers to implement proven innovations in HIV care and services within their own practices. This Webinar is the second in a three-part series exploring innovative approaches to delivering oral health care and services to people living with HIV/AIDS, featuring grantees of the Health Resources and Services Administration’s Special Projects of National Significance (SPNS) Innovations in Oral Health Care Initiative (Oral Health Initiative).
This Webinar outlines dental case management programs at the AIDS Care Group (ACG) in Chester, PA and the Native American Health Center (NAHC) in San Francisco, CA. The presenters include Dr. Howell Strauss and Mr. Nelson Diaz from ACG; and Dr. Carolyn Brown and Ms. Lucy Wright, RDH, representing the NAHC. The presentation details the pros, cons, and considerations of dental case management from administrative and clinical perspectives. The presenters also provide tips for being a good dental case manager and how this can result in improved health outcomes.
The goal of Integrating HIV Innovative Practices (IHIP) is to enable health care providers to implement proven innovations within their own practices and clinics. This Webinar is the first in a three part series featuring grantees of the Health Resources and Services Administration’s Special Projects of National Significance (SPNS) Enhancing Linkages to HIV Care & Services in Jail Settings Initiative (Jail Linkages Initiative), as they share lessons learned and advice for others hoping to create or expand similar programs.
Explore how to secure buy-in and foster partnerships within correctional settings, as well as how to navigate the “culture of corrections.” Hannah Zellman of Philadelphia FIGHT, a SPNS Jail Linkages grantee, will present alongside Dr. Linda Rose Frank and Debra D’Alessandro of the PA/MidAtlantic AIDS Education and Training Center about the work their organizations have done individually and collaboratively in the corrections setting.
The goal of Integrating HIV Innovative Practices (IHIP) is to enable health care providers to implement proven innovations in HIV care and services within their own practices. This Webinar is the third in a three-part series exploring innovative approaches to delivering oral health care and services to people living with HIV/AIDS, featuring grantees of the Health Resources and Services Administration’s Special Projects of National Significance (SPNS) Innovations in Oral Health Care Initiative (Oral Health Initiative).
This Webinar explores the clinical aspects of oral health care for people living with HIV/AIDS (PLWHA). The presenters include Dr. David Reznik of Grady Health System in Atlanta, GA and HIVdent and Ms. Helene Bednarsh, MPH of Boston Public Health Commission in Boston, MA and HIVdent. Dr. Reznik and Ms. Bednarsh detail common oral health diseases among HIV-infected people, as well as the prevention, detection, and treatment of these diseases.
The intersection of opioid use and HIV is well documented. More than one-third of all AIDS cases in the U.S. are directly or indirectly linked to injection drug use. Additionally, dependence and abuse of pain relievers is on the rise; people living with HIV/AIDS who suffer from chronic pain may be at particular risk. Opioids are highly addictive and mortality among illicit opioid users is estimated at 13 times that of the general population. The SPNS Buprenorphine Initiative investigated the effectiveness of integrating buprenorphine opioid abuse treatment into HIV primary care settings.
This Webcast is the first in a series under the new SPNS Integrating HIV Innovative Practices project (www.careacttarget.org/ihip) to assist providers in replicating SPNS work in their sites. This Webcast will introduce providers to the SPNS Buprenorphine Initiative, its findings, its synergy with the National HIV/AIDS Strategy, and provide an overview of opioid use and HIV.
The subsequent Webcast in the series will examine the clinical aspects of buprenorphine therapy, best practices, and implementation guidance. See also Integrating Buprenorphine Therapy Into HIV Primary Care Settings, a monograph on best practices, available at: https://careacttarget.org/content/integrating-buprenorphine-therapy-hiv-primary-care-settings.
This Webinar provides an overview of common oral health barriers for people living with HIV/AIDS (PLWHA) and the importance of overcoming these barriers. It will also share some of the ways HRSA has helped link PLWHA to oral health care, including the SPNS Oral Health Initiative. Featured presenters include:
- Dr. Mahyar Mofidi; Branch Chief of the Division of Community HIV/AIDS Programs and Chief Dental Officer of the HRSA HIV/AIDS Bureau
- Jane Fox, MPH; Project Director of SPNS Oral Health Initiative Evaluation Center for HIV and Oral Health (ECHO), Boston University School of Public Health.
The goal of Integrating HIV Innovative Practices (IHIP) is to enable health care providers to implement proven innovations within their own practices and clinics. This Webinar is the second in a three part series featuring grantees of the Health Resources and Services Administration’s Special Projects of National Significance (SPNS) initiative on Jail Linkages, as they share lessons learned and advice for others hoping to create or expand similar programs.
Learn how to build a new jail linkage program and what to consider for expanding an existing one. Jail Linkages SPNS grantees—including Dr. Timothy Flanigan of Miriam Hospital, Alison Jordan of New York City Department of Health and Mental Hygiene, and Dr. Ann Avery of Care Alliance Health Center describe the steps their programs took to implement their respective jail linkage programs, and provide advice for others hoping to replicate this work.
Members of the Coleman Supportive Oncology Collaborative including over 169 cancer care providers from 44 institutions came together in person to share lessons from their 3-year project to improve supportive cancer care across the region and to launch the next step in the Coleman Foundation initiative which is to improve patient communication and experience.
Antonio Boone presented on PrEP campaigns that have been implemented in the US outside Philadelphia at the February 2016 meeting of the Philadelphia HIV Prevention Planning Group (HPG).
Improving Aboriginal and Torres Strait Islander cancer screening rates in NNS...Cancer Institute NSW
Northern NSW (NNSW) LHD was awarded a $20,000 grant from the Cancer Institute NSW to increase breast and cervical cancer screening in Aboriginal women and cancer screening in Aboriginal men in the Northern NSW region.
Interventions for preventing elder abuse: What's the evidence?Health Evidence™
Health Evidence hosted a 90 minute webinar examining the effectiveness of interventions for preventing elder abuse.
Philip Baker, Australia Regional Director APACPH, School of Public Health and Social Work Queensland University of Technology led the session and presented findings from their review:
Baker PRA, Francis DP, Hairi NN, Othman S, Choo WY. (2016). Interventions for preventing abuse in the elderly. Cochrane Database of Systematic Reviews, 2016, CD010321
http://www.healthevidence.org/view-article.aspx?a=interventions-preventing-abuse-elderly-29428
Many older adults experience some form of abuse (psychological, physical, and sexual) that often goes unreported. Elder abuse is associated with morbidity and premature mortality. This review examines the effectiveness of interventions for preventing elder abuse in the home, institutions and community settings. Findings of the review suggest there is uncertainty in the effectiveness of educational interventions to improve knowledge of caregivers about elder abuse and uncertainty on its effect of reducing abuse. This webinar will examine the effectiveness and components of interventions that prevent elder abuse.
Madridge Journal of AIDS (ISSN: 2638-1958); Haiti is one of the most severely resource-constrained countries in the Americas, experiencing high rates of HIV. Access to HIV care is the paramount barrier with a paucity of specialized care providers throughout the very rural country.
Improvement Story session at the 2013 Saskatchewan Health Care Quality Summit. For more information about the summit, visit www.qualitysummit.ca. Follow @QualitySummit on Twitter.
Better Care
Germain Bukassa Kazadi
Colorectal screening evidence & colonoscopy screening guidelines Health Evidence™
Health Evidence hosted a 90 minute webinar examining colorectal cancer screening: benefits and harms, effective screening methods, and screening guidelines.Click here for access to the audio recording for this webinar: https://www.youtube.com/watch?v=JqOV-KHCBq8
Donna Fitzpatrick-Lewis, MSW, Senior Research Coordinator at the McMaster Evidence Review and Synthesis Centre and Dr. Maria Bacchus, Associate Professor of Medicine, Faculty of Medicine University of Calgary, and member of the Canadian Task Force on Preventive Health Care led the session. Donna presented the findings of the Synthesis Centre’s latest review and Dr. Bacchus presented findings from the Task Force’s latest guidelines:
Fitzpatrick-Lewis, D., Usman, A., Warren, R., Kenny, M., Rice, M., Bayer, A., Ciliska, D., Sherifali, D., Raina, P. Screening for colorectal cancer. Ottawa: Canadian Task Force on Preventive Health Care; 2015. Available: http://canadiantaskforce.ca/files/crc-screeningfinal2.pdf
Bacchus, C. M., Dunfield, L., Gorber, S. C., Holmes, N. M., Birtwhistle, R., Dickinson, J. A., Lewin, G., Singh, H., Klarenbach, S., Mai, V., Tonelli, M. (2016). Recommendations on screening for colorectal cancer in primary care. Canadian Medical Association Journal, cmaj-151125.
Among men and women, colorectal cancer is the second and third most common cause of cancer related death, respectively. Colorectal cancer screening guidelines, developed by the Canadian Task Force on Preventive Health Care, are based on a systematic review synthesizing evidence on the benefits and harms of screening, and the characteristics of effective screening tests. The guidelines, developed from the review, outline screening recommendations for adults aged 50 and older who are asymptomatic and not at high risk for colorectal cancer. This webinar provided a high level overview of the systematic review that informed these recommendations, followed by an overview of the recent Canadian screening guidelines.
Members of the Coleman Supportive Oncology Collaborative including over 169 cancer care providers from 44 institutions came together in person to share lessons from their 3-year project to improve supportive cancer care across the region and to launch the next step in the Coleman Foundation initiative which is to improve patient communication and experience.
Antonio Boone presented on PrEP campaigns that have been implemented in the US outside Philadelphia at the February 2016 meeting of the Philadelphia HIV Prevention Planning Group (HPG).
Improving Aboriginal and Torres Strait Islander cancer screening rates in NNS...Cancer Institute NSW
Northern NSW (NNSW) LHD was awarded a $20,000 grant from the Cancer Institute NSW to increase breast and cervical cancer screening in Aboriginal women and cancer screening in Aboriginal men in the Northern NSW region.
Interventions for preventing elder abuse: What's the evidence?Health Evidence™
Health Evidence hosted a 90 minute webinar examining the effectiveness of interventions for preventing elder abuse.
Philip Baker, Australia Regional Director APACPH, School of Public Health and Social Work Queensland University of Technology led the session and presented findings from their review:
Baker PRA, Francis DP, Hairi NN, Othman S, Choo WY. (2016). Interventions for preventing abuse in the elderly. Cochrane Database of Systematic Reviews, 2016, CD010321
http://www.healthevidence.org/view-article.aspx?a=interventions-preventing-abuse-elderly-29428
Many older adults experience some form of abuse (psychological, physical, and sexual) that often goes unreported. Elder abuse is associated with morbidity and premature mortality. This review examines the effectiveness of interventions for preventing elder abuse in the home, institutions and community settings. Findings of the review suggest there is uncertainty in the effectiveness of educational interventions to improve knowledge of caregivers about elder abuse and uncertainty on its effect of reducing abuse. This webinar will examine the effectiveness and components of interventions that prevent elder abuse.
Madridge Journal of AIDS (ISSN: 2638-1958); Haiti is one of the most severely resource-constrained countries in the Americas, experiencing high rates of HIV. Access to HIV care is the paramount barrier with a paucity of specialized care providers throughout the very rural country.
Improvement Story session at the 2013 Saskatchewan Health Care Quality Summit. For more information about the summit, visit www.qualitysummit.ca. Follow @QualitySummit on Twitter.
Better Care
Germain Bukassa Kazadi
Colorectal screening evidence & colonoscopy screening guidelines Health Evidence™
Health Evidence hosted a 90 minute webinar examining colorectal cancer screening: benefits and harms, effective screening methods, and screening guidelines.Click here for access to the audio recording for this webinar: https://www.youtube.com/watch?v=JqOV-KHCBq8
Donna Fitzpatrick-Lewis, MSW, Senior Research Coordinator at the McMaster Evidence Review and Synthesis Centre and Dr. Maria Bacchus, Associate Professor of Medicine, Faculty of Medicine University of Calgary, and member of the Canadian Task Force on Preventive Health Care led the session. Donna presented the findings of the Synthesis Centre’s latest review and Dr. Bacchus presented findings from the Task Force’s latest guidelines:
Fitzpatrick-Lewis, D., Usman, A., Warren, R., Kenny, M., Rice, M., Bayer, A., Ciliska, D., Sherifali, D., Raina, P. Screening for colorectal cancer. Ottawa: Canadian Task Force on Preventive Health Care; 2015. Available: http://canadiantaskforce.ca/files/crc-screeningfinal2.pdf
Bacchus, C. M., Dunfield, L., Gorber, S. C., Holmes, N. M., Birtwhistle, R., Dickinson, J. A., Lewin, G., Singh, H., Klarenbach, S., Mai, V., Tonelli, M. (2016). Recommendations on screening for colorectal cancer in primary care. Canadian Medical Association Journal, cmaj-151125.
Among men and women, colorectal cancer is the second and third most common cause of cancer related death, respectively. Colorectal cancer screening guidelines, developed by the Canadian Task Force on Preventive Health Care, are based on a systematic review synthesizing evidence on the benefits and harms of screening, and the characteristics of effective screening tests. The guidelines, developed from the review, outline screening recommendations for adults aged 50 and older who are asymptomatic and not at high risk for colorectal cancer. This webinar provided a high level overview of the systematic review that informed these recommendations, followed by an overview of the recent Canadian screening guidelines.
Running Head: Inmate Behavior 1
Inmate Behavior 7
Inmate Behavior
Tommy K. Bush Sr.
Troy University
February 4, 2014Abstract
In many parts of the world, one of the most extensively discussed issues on the public agenda today is the increase in crime rate and increase in the prison population.
Correctional facilities, i.e. jails and prisons, are faced with various issues that warrant for consideration for the betterment of the lives of the inmates in these facilities. One of the major issues mainly faced by the inmates in these correctional centers is the issue concerned with the spread of communicable diseases, especially HIV and AIDS among the inmates.
HIV/AIDS among prison inmates is a growing concern that has been on the spotlight since the mid-1980s. The concern is mainly for the various reasons, which include increased rates of incarceration and high risk inmates.
The paper aims at looking into the issue of HIV and AIDS as a corrections issue among prison inmates and to suggest ways in which this issue can be improved or resolved to enhance correctional operations. An analysis of this problem is provided for based on various statistical data for which there sources are included in the reference section of the paper. In addition, a variety of recommendations on how to improve the issue at hand is included in the paper.
Description of the problem that exists
The Bureau of justice statistics in 2002 attest that the rate of confirmed cases of HIV and AIDS among the prison population in the United States was 3.5 times the general United States population rate of HIV confirmed cases. Indeed, data regarding AIDS related deaths among the inmates is more negative. Between 2007 and 2008, California and Florida reported the largest increases in the number of inmates who were infected with HIV or had confirmed HIV/AIDS. In the United States, during 2007, 130 state and federal prisoners died from HIV/AIDS-related causes. Other states such as New York and Texas reported more AIDS-related deaths during 2007. This has seen inmates’ die of AIDS related causes as various studies of prison inmates report a high rate of HIV infection among inmates since the HIV and AIDS outbreak. Undoubtedly, there might be a high risk of being infected with the HIV while in prison (Hensley, 2002).
The high rate of HIV infection in prisons can be attributed to high risk behaviors for HIV transmission, which include drug abuse, sharing of needles, sex, tattooing and homosexuality. Prior to incarceration most prison inmates engage in risky sexual practices such as unprotected sex with multiple partners, transactional sex, drug abuse, sex in exchange for drugs, sexual abuse, homosexuality and impaired judgment from drug intoxication.
Concerning the existen.
Read Individuals with Serious Mental Illness in the Criminal Just.docxdanas19
Read "Individuals with Serious Mental Illness in the Criminal Justice System: The Case of Richard P." located in this week's Electronic Reserve Readings.
Review UOP's Sample PowerPoint Presentation to guide you in creating an effective presentation.
As a Team, create a visually engaging 10- to 12-slide Microsoft® PowerPoint® presentation to describe the role of communication skills in handling the case.
Include speaker notes with each slide of your presentation that provides information on the topics below. Each topic should have at least two corresponding slides.
· Describe how you could use different communication models to assist in communicating with this offender.
· Describe how interpersonal communication skills and motivational interviewing could be used with this offender.
· Describe how you would take this offender's culture and mental capacity into consideration when communicating with him.
· Describe how the use of jargon may affect communicating with this offender.
Include a minimum of three reputable sources.
Format any citations in your presentation consistent with APA guidelines.
Click the Assignment Files tab to submit your assignment.
Individuals With Serious Mental Illness in the Criminal Justice System The Case of Richard P. Arthur J. Lurigio Loyola University Chicago, Illinois John Fallon Thresholds This paper presents a case study that illuminates the clinical and practical challenges that accompany the treatment of people with serious mental illness (SMI) and criminal involvement. We discuss the historical conditions that led to the influx of a large number of people with SMI into the criminal justice system. We discuss the case history of Richard P., which illustrates the use of Assertive Community Treatment (ACT) to care for criminally involved people with SMI. We focus on the ACT model that was employed by Thresholds to treat Richard P. It was known as the Thresholds Jail Program. We track his progress in the program and explicate the case management considerations that are most salient in treating offenders with SMI. Keywords: criminalization, mental illness, crime, deinstitutionalization, mental health services, probation, ACT 1 Theoretical and Research Basis Fundamental changes in mental health policies and laws have brought criminal justice professionals into contact with the seriously mentally ill at every stage of the justice process: police arrest people with serious mental illness (SMI) because few other options are readily available to handle their disruptive public behaviors; jail and prison administrators strain to attend to the care and safety of the mentally ill; judges grapple with limited sentencing alternatives for individuals with SMI who fall outside of specific forensic categories (e.g., guilty but mentally ill); and probation and parole officers scramble to obtain scarce community services and treatments for people with SMI and attempt to fit them into standard correctional programs or monito.
Theodoros F. Katsivas, M.D., M.A.S., of UC San Diego Owen Clinic, presents "San Diego Primary Care Providers' Attitudes to HIV and HIV Testing" at AIDS Clinical Rounds
Kali Lindsey's, amfAR, presentation at the Sex in the City II: Men, Sex, Love and HIV conference, held in Chicago on September 25, 2014. Sponsored by AIDS Foundation of Chicago and other partners.
Health Care Continuity in Jail, Prison and Community brighteyes
Health Care Continuity in Jail, Prison and Community Thomas.Lincoln@bhs.org
Hampden County Correctional Center Baystate Brightwood Health Center Springfield, MA 2006
Commission Key Findings & Recommendations - Columbia Law School, Feb. 2013Emilie Pradichit
Presentation given at Columbia Law School in Feb. 2013 by Emilie Pradichit, Human Rights & Law Consultant, HIV, Health and Development Group, BDP, UNDP NY.
The presentation provides an overview of the Global Commission on HIV & the Law's work and presents the key findings and recommendations of the Commission Final Report "HIV and the Law: Risks, Rights & Health". More specifically it focuses on findings and recommendations as they relate to HIV Criminalization, Women and Children and describes UNDP's work in implementing the Commission's recommendations in 82 countries at national and global level.
Link to the event: http://www.law.columbia.edu/calendar/event/621244
Join us as we discuss best practices for integrating HIV prevention (e.g. HIV testing, PrEP and linkage to care) into primary care within the context of enhancing clinical workforce development.
Panelists:
• Marwan Haddad, MD, MPH, AAHIVS, Medical Director, Center for Key Populations, Community Health Center, Inc.
• Jeannie McIntosh, APRN, FNP-C, AAHIVS, Family Nurse Practitioner, Center for Key Populations, Community Health Center, Inc.
The Enrollment Opportunity for Criminal Justice PopulationsEnroll America
Slides from a webinar Enroll America co-hosted (April 9, 2014) with The California Endowment and Californians for Safety and Justice to discuss the work currently being done to ensure that criminal justice populations are connecting to the new coverage options available as a result of the Affordable Care Act. Watch the recording above — and check out the slides and related resources below — to learn about successful partnerships between criminal justice and health care systems in three states, best practices for setting up a health care enrollment program for people in the justice system, and resources for taking this work to the next level.
Hi52Hlth: Using Mobile Technology to Access Healthcare for TeensYTH
Hi52Hlth is a mobile application (app) created to engage adolescents and young adults in the search for resources in the Houston area. The app allows the user to search for locations of clinics and community organizations with directions, articles and videos on HIV/AIDS, ability to ask questions directly to health avatars ("Tiff" and "Ty"), PEP (Post-Exposure Prophylaxis) and PrEP (Pre-Exposure Prophylaxis) information, and a frequently asked questions section.
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
1. HIV and Jails: A Public Health
Opportunity
September 19, 2013
2. Agenda
Introduction to SPNS Integrating HIV
Innovative Practices (IHIP) project
Sarah Cook-Raymond, Impact Marketing +
Communications
Presentations from
Barry Zack,The Bridging Group
Dr. Anne Spaulding, Emory University
Q & A
3.
4. IHIP Jail Linkage Resources:
Lessons Learned Manual
Implementation Guide
Webinar Series
HIV and Jails: A Public Health Opportunity – today’s
Webinar September 19, 2013 (archive recording will be
up shortly)
How to Build and Expand a Jail Linkage Program –
September 27, 2013 at 12pm ET
Creating Partnerships and Navigating the “Culture of
Corrections”- October 3, 2013 at 2pm ET
www.careacttarget.org/ihip
5. Other IHIP Resources
Buprenorphine
Training Manual, Curricula, and Webinars on
Implementing Buprenorphine into Primary Care Settings
Engaging Hard-to-Reach Populations
Training Manual, Curricula, and Webinars on Engaging
Hard-to-Reach Populations
Oral Health
Forthcoming:Training Manual, Curricula, and Webinars on
Oral Health and HIV
6. Enhancing Linkages to HIV Primary
Care and Services in Jail
HIV and Jails:
A Public Health Opportunity
Barry Zack September 19th, 2013
The Bridging Group
7. Outline:
• Introduction (brief) to U.S. Correctional System
• Epidemiology of Health / Corrections
• Public Health and Public Safety
• Linkages: Continuity of Care
8. United States Incarceration Rates
• More than 1 in 100 American
adults were incarcerated at the
start of 2008.
• One in every 31 American adults,
or 7.3 million Americans, are in
prison, on parole or probation.
• US has over 25% of all people
incarcerated worldwide.
• Approximately one in every 18
men in the US is behind bars or
being monitored.
9. 9
Jails in the United States
85% of incarcerated
individuals pass solely
through jails
Each year this accounts for
nearly 13 million jail
admissions—representing 9
to 10 million unique
individuals—in the United
States.
This equates to
approximately 4% of the
U.S. adult population
passing through a jail in a
given year.
9
14. Jail vs. Prison
• Jail
▫ Operated by local law enforcement agency (e.g. County
Sheriff’s Department)
▫ Pre-Trial, Trial, Short Term Sentences (usually up to one
year)
▫ Range of offenses (e.g., misdemeanor & felony)
• Prison
▫ Typically operated by State DOC or Federal BOP
▫ Tried and convicted
▫ Felony offenses
• Private Jails and Prisons: local and state agencies
may also contract these operations to a private entity
15. Why Jails? Over 95% of persons released
from correctional facilities leave jails!
Annual Admissions Average Daily Population
16. Security Levels
• Minimum
▫ Not considered a serious risk to the safety of staff, peers or to
the public
▫ Many facilities have transitional/re-entry programs
• Medium
▫ May present a risk of escape or pose a threat to peers or staff
▫ May have programs buy may be based on individual’s
conforming behavior with institutional rules and regulations
• Maximum
▫ Maximum control and supervision through the use of high
security parameters, internal physical barriers and check
points
▫ Present serious escape risks or pose serious threats to
themselves, peers, or staff
▫ May have limited access to programs
17. Percent of Total Burden of Infectious
Disease passes through Jails/Prisons
• Total HIV/AIDS 15%
• Chronic Hepatitis B 12-16%
• Hepatitis C 29-32%
• TB Disease 38%
18. Health and Incarceration
• STDs - significantly higher
• Mental Illness - 45-64%
▫ 10-17% SMI
• Substance Use – 43-69%
▫ 30% have co-occurring SMI
• Aging related - significantly higher
▫ Hypertension
▫ Diabetes
19. Prevalence of Various Conditions
Compared to General US Population
4.1
5.5
17
11
13
0
2
4
6
8
10
12
14
16
18
HIV AIDS HCV TB Mental
Illness
FoldIncreaseinPrevalence
20. HIV prevalence (%) in selected
countries
0
5
10
15
20
25
30
35
40
45
Canada Brazil USA Honduras Spain RF Vietnam Indonesia Ukraine South
Africa
Adults
Prisoners
21. HIV Prevalence Among Those
Released From Prison/Jail in 2006
Estimate of proportion of HIV+
persons in US who passed
through a jail or prison in 2006
1 of 7 (14.1%) of all HIV+ in US
were released from
incarceration in 2006
At least 22% of all HIV+ black
men in US passed through a
correctional facility during
2006
Incarcerated/released
Not incarcerated
Total US HIV population ~ 1.1 million
Spaulding A, et al. PLoS One. 2010.
85.9
14.1
22. HIV Prevalence in the 12 City Jails:
Metropolitan Statistical
Area
Average
Daily Jail
Population
Estimated HIV Prevalence Rates
Atlanta, Georgia
Baltimore, Maryland
Chicago, Illinois
Dallas, Texas
District of Columbia
Houston, Texas
Los Angeles, California
Miami, Florida
New York City, New York
Philadelphia, Pennsylvania
San Juan, Puerto Rico
San Francisco, California
23. HIV Transmission in Correctional Settings
• Majority of people with HIV are infected before they enter prison1
• HIV risk behaviors often continue inside the institution and include
injecting drug use, tattooing, body piercing, and consensual,
nonconsensual, and survival sexual activities2
• Scarcity of sterile drug paraphernalia leads to syringe sharing in
prison3
• Syringe sharing among soon-to-be released individuals is high4
1. CDC. MMWR. 2006;55(15):421-426. 4. Stephens TT et al. Am J Health Stud. 2005.
2. Hammett TM. Am J Pub Health. 2006;96(6):974-978.
3. Davies R. Lancet. 2004:364:317-318.
28. A Community at Risk
• Reality Check:
▫ It is estimated that each year, approximately 14% of
all HIV positive persons in the US spend time in prison or
jail.
• People come into facilities with higher rates of infectious diseases
• Most people (over 90%) in correctional facilities will return to
the community
• Incarcerated does not occur in a vacuum. People move in and
out of prisons and jails and likewise move in and out of
communities and relationships.
• Correctional medical care and health programs represent access
30. The Collaboration:
Culture of Corrections
• Working within/inside a Correctional Setting
• Working with the Correctional System
• Patience & Persistence….
31. Issues to Consider
• Disconnect between Corrections and Public Health
• Different Cultural Identities
• Security= Safety First
• Operational Policies, Procedures and Relationships
• Confidentiality
• Ethical Considerations
32. The Disconnect
Public Health Jail & Prison
Mission = Public Health
Orientation toward Change
Humanitarian
Dress code is (more) Informal
Prevention/Screening/Care
Client/Community-Centered
Flexibility
Creative
Mission = Public Safety
Orientation toward Order
Para-Military
Dress code is Uniform
Punishment (rehabilitation….)
Institution-Centered
Rules
Standard Operating Procedures
33. Addressing Public Health Supports the
Mission of Public Safety
• Safety and security is the number one priority of
every correctional facility.
• Evidenced based health education, prevention,
screening and continuity of care, post release, can
contribute to the safety and security mission of a
detention setting.
“People, who are actively working to better themselves,
are less likely to get into trouble on the inside. Thus,
more programs make my prison safer.”
- Former Warden, San Quentin State Prison
34. The Linkages Challenge:
What are we doing?
Screening
Diagnosis
– Infectious diseases (HIV, STI, TB, HCV,
HBV)
– Mental illness
– Substance abuse
Treatment
Pre-release planning
Making the transition work!
Linkage to care and services
Treatment
ID (HIV, HCV, STIs, HBV, etc.)
Chronic (hypertension, diabetes)
Substance Use & Mental Health
Adequate community resources
Addressing life’s competing
priorities
How to break the cycle?
Societal challenge (poverty, discrimination, etc.)
Policy (Sentencing, Drugs, Housing, Sex Offenders)
Incarceration Freedom
Reincarceration
35. Project START for People with HIV
• RCT
▫ Individual and Ecosystem
▫ Jail and Prison
• Medication use
• Medication adherence
• Recidivism
• Sexual behavior
36. New & Ongoing Issues to Consider:
• ACA
▫ Major CJ implications: time of enrollment and eligibility to
coverage of mental health and substance use treatment
• Criminogenicity
• Electronic Medical/Health Records
▫ HIPAA, consent
• Multi-lingual / cultural competency
▫ Context of CJ and Medical Care
Conditions of Probation and Parole
• Patient’s life competing priorities
▫ Income, housing, family, etc.
• Trust & Relationships & Linkages
▫ Medical, Healthcare and CJ systems
37. HIV Linkages to Care
• Linkages to HIV treatment providers in the
community after release
• Seamless medical care
• Additional support services
▫ case managers, benefits counselors
• Access to other treatment providers
▫ substance treatment, mental health, etc.
38. In conclusion:
• Most people in jail will return to the community
• People coming into jail (as a population) are relatively
unhealthy
• The burden of disease is much greater than in the
general population
• Critical to comprehend the context of the criminal
justice system to pro-actively work with systems and
patients
40. Thank you….
For more information:
•www.thebridginggroup.com
•barry@thebridginggroup.com
41. EnhanceLink Initiative to Link HIV+
Jail Releasees to Community Care –
A Legacy of Lessons Learned
Anne Spaulding MD MPH—Emory University, Atlanta Georgia
PI, EnhanceLink Evaluation and Support Center
Funder: HRSA
Dates: September 2006 – August 2012
Number of Sites: 10; Number of Jails Served: 20
Cost: $22 Million
42. Major Activities: HIV Testing & Continuity of
Care Programs
Enrollment Jail Discharge
Six Months
Post-Release
Discharge Planning Intensive Case Management
Court Advocacy
Basic Needs like
Transportation
Health, HIV care
& Social Service
NeedsHousing
TESTING
43. Enhance Link Care Sites and Partners
Evaluation and Support Center: Emory University/Abt Associates
44. Jail Admission
(n=877,119)
Jail Admission
(n=877,119)
Offered HIV Testing
(n=499,131)
Offered HIV Testing
(n=499,131)
Tested for HIV
(n=210,267)
Tested for HIV
(n=210,267)
HIV-positive Test Result
(n=1,312)
HIV-positive Test Result
(n=1,312)
Previously Known
HIV + (n=27,827)
Previously Known
HIV + (n=27,827)
Offered Transitional Linkage
Services (n=9,837)
Offered Transitional Linkage
Services (n=9,837)
Newly Diagnosed
HIV + (n=822)
Newly Diagnosed
HIV + (n=822)
Sum of instances when HIV+
persons known to be in
jail = 28,649
Enrolled in Client Level Portion of
Multi-Site Evaluation (n=1,386)
Enrolled in Client Level Portion of
Multi-Site Evaluation (n=1,386)
Enrolled in Transitional
Linkage Services (n=8,056)
Enrolled in Transitional
Linkage Services (n=8,056)
EnhanceLink Study Population Admission, Testing & Service Events
45. • Ten manuscripts have been submitted
• Special issue will also include:
▫ An overview authored by the Guest Editors
▫ Commentary by AT Wall, Director of the Rhode
Island Department of Corrections
▫ Appendix detailing methods of the EnhanceLink
initiative
AIDS AND BEHAVIOR
SPECIAL ISSUE
46. Planning for Success Predicts Virus Suppressed
Spaulding, Messina, Kim et al., AIDS and Behavior
• 26% of releasees had VL <400 at 6 months post release
– Conservative estimate: those for whom data missing were
assumed to be UNSUPPRESSED.
– Not all persons who were linked were eligible for ART
• Factors associated with viral suppression include:
– Involvement of case managers in assessing and providing care
• These results support further development of case
management programs for HIV-positive jail detainees
47. Cost Analysis of Enhancing Linkages to HIV Care
Following Jail: A Cost-Effective Intervention
(Spaulding et al, AIDS and Behavior)
• Mean cost per linked client: $4,219
• Mean cost per 6-month sustained linkage: $4,670
• Mean cost/client achieving viral suppression: $8,432
• Cost per additional quality adjusted life year saved:
$72,285 →cost-effective
Data suggest EnhanceLink interventions were cost-
effective from a societal perspective
• But we had to extrapolate from other studies
• How many participants would have linked even without
EnhanceLink??
48. Poll
1. What percentage of HIV+ men in a jail population
acquired their infection through having sex with men?
a. 2% b. 6% c. 20% d. 40%
2. Is the presence of a serious mental illness in a jail releasee
associated with a higher or lower likelihood of
linkage/retention in care after release?
3. If 28% of persons in the US with HIV have suppressed
virus, what percentage of persons leaving jail can achieve
viral suppression at 6 months when linkage services are
available?
4. If models of excellence are now established in 20 jails
across the US, how do we transfer information to the
other 3200?
OTHER FINDINGS
49. Poll
1. What percentage of HIV+ men in a jail population
acquired their infection through having sex with men?
a. 2% b. 6% c. 20% d. 40%
2. Is the presence of a serious mental illness in a jail releasee
associated with a higher or lower likelihood of
linkage/retention in care after release?
3. If 28% of persons in the US with HIV have suppressed
virus, what percentage of persons leaving jail can achieve
viral suppression at 6 months when linkage services are
available?
4. If models of excellence are now established in 20 jails
across the US, how do we transfer information to the
other 3200?
50. Poll
1. What percentage of HIV+ men in a jail population
acquired their infection through having sex with men?
a. 2% b. 6% c. 20% d. 40%
2. Is the presence of a serious mental illness in a jail releasee
associated with a higher or lower likelihood of
linkage/retention in care after release?
3. If 28% of persons in the US with HIV have suppressed
virus, what percentage of persons leaving jail can achieve
viral suppression at 6 months when linkage services are
available?
4. If models of excellence are now established in 20 jails
across the US, how do we transfer information to the
other 3200?
51. Poll
1. What percentage of HIV+ men in a jail population
acquired their infection through having sex with men?
a. 2% b. 6% c. 20% d. 40%
2. Is the presence of a serious mental illness in a jail releasee
associated with a higher or lower likelihood of
linkage/retention in care after release?
3. If 28% of persons in the US with HIV have suppressed
virus, what percentage of persons leaving jail can achieve
viral suppression at 6 months when linkage services are
available?
4. If models of excellence are now established in 20 jails
across the US, how do we transfer information to the
other 3200?
54. Poll
1. What percentage of HIV+ men in a jail population
acquired their infection through having sex with men?
a. 2% b. 6% c. 20% d. 40%
2. Is the presence of a serious mental illness in a jail releasee
associated with a higher or lower likelihood of
linkage/retention in care after release?
3. If 28% of persons in the US with HIV have suppressed
virus, what percentage of persons leaving jail can achieve
viral suppression at 6 months when linkage services are
available?
4. If models of excellence are now established in 20 jails
across the US, how do we transfer information to the
other 3200?
56. Jail linkage more imperative for HIV clinics than for jails
• Only 1-2 out of 100 inmates/releasees has HIV.
• 1 out of 6 persons with HIV in the US is in either a jail or a
prison at least part of the year.
Source: Spaulding, PLoS One 2009
Must keep in mind…
57. HERE IS A TYPICAL MEDIUM SIZED JAIL:
SPALDING COUNTY (GA)
58. CHALLENGES
AFTER ENHANCELINK
• Diffusion of information into non-grantee jails
• Finding champions within local jails
• Finding champions within local health departments
• Funding streams to underwrite programs
• Additional data to show cost-effectiveness of
jail/community linkage programs for HIV infected
detainees
59. Q&A
Twitter: @impactmc1| Facebook: ImpactMarCom |www.impactmc.net | 202-588-0300
Connect with Us
Sarah Cook-Raymond, Managing Director |Impact Marketing + Communications |
To be informed when these upcoming IHIP resources are ready,
sign up for the IHIP listserv by emailing scook@impactmc.net.
Editor's Notes
I
Taking a snapshot of all those behind bars on a given day, 2/3 are in prison, 1/3 are in jail. ACS The majority of people passing through a correctional institution pass through a jail, not a prison.
HBV, hepatitis B virus; HCV, hepatitis C virus; STI, sexually transmitted infection; TB, tuberculosis. This slide illustrates my concept of the challenge of continuum of care. I envision a cycling from incarceration to freedom to reincarceration, and we have to think about opportunities to break the cycle. During incarceration, we have to ask ourselves whether we are doing the best we can in diagnosing HIV and other infectious diseases, in diagnosing concomitant mental illness and substance abuse, and in dealing with those patients during incarceration by offering treatment and counseling. Before release, are we linking people to community care in meaningful ways? Once patients get out of prison or jail, how well do maintain the benefits of care experienced during incarceration? I have presented data that people in care during their prison incarceration experience benefits of this care––HIV-1 RNA decreases and CD4+ cell count increases––but those benefits are often lost after release. The challenge is to provide more effective models to link people to care in a timely way so that we can protect them from adverse consequences and protect others with whom they may have intimate relationships or share needles. Adequate community resources are a must. Many communities are being blighted with a lack of resources, and we have to try to link people to better care. Finally, we must address reincarceration. In our study of bridging case management, we saw 30% of people being reincarcerated within 6 months of release. How do we break that cycle? This is a challenge not just to us who work with incarcerated populations but also to society. The problem stems from overarching themes of poverty, discrimination, racism, and sentencing laws. This challenge is complicated and requires linkages between healthcare and public health authorities and with government officials and policymakers to break the cycle.
How our outcomes related to the national care continuum
Reveals the overlap of correctional populations with other target groups in the HIV epidemic
Thank you for your time -My contact information and the Impact Marketing + Communications Website are at the bottom, so please feel free to reach out any time if you have questions about our firm, the IHIP work or any other HRSA deliverables we’ve created, or if there are any marketing or communications projects we can help you with. - At this time, I’d be happy to take any questions you have about the IHIP project. We will also turn to Q&A with the other presenters.