Survey finds that many prisons and jails have room to improve HIV testing and coordination of postrelease treatment

Liza Solomon, Brian T. Montague, Curt G. Beckwith, Jacques Baillargeon, Michael Costa, Dora Dumont, Irene Kuo, Ann Kurth

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

Early diagnosis of HIV and effective antiretroviral treatment are key elements in efforts to reduce the morbidity and mortality associated with HIV. Incarcerated populations are disproportionately affected by HIV, with the disease's prevalence among inmates estimated to be three to five times higher than among the general population. Correctional institutions offer important opportunities to test for HIV and link infected people to postrelease treatment services. To examine HIV testing and policies that help HIV-positive people obtain treatment in the community after release, we administered a survey to the medical directors of the fifty state prison systems and of forty of the largest jails in the United States. We found that 19 percent of prison systems and 35 percent of jails provide opt-out HIV testing, which is recommended by the Centers for Disease Control and Prevention (CDC). Additionally, fewer than 20 percent of prisons and jails conform to the CDC's recommendations regarding discharge planning services for inmates transitioning to the community: making an appointment with a community health care provider, assisting with enrollment in an entitlement program, and providing a copy of the medical record and a supply of HIV medications. These findings suggest that opportunities for HIV diagnosis and linking HIV-positive inmates to community care after release are being missed in the majority of prison systems and jails

Original languageEnglish (US)
Pages (from-to)434-442
Number of pages9
JournalHealth Affairs
Volume33
Issue number3
DOIs
StatePublished - Mar 2014

Fingerprint

Prisons
HIV
Therapeutics
Centers for Disease Control and Prevention (U.S.)
Surveys and Questionnaires
Physician Executives
Community Health Services
Patient Discharge
Health Personnel
Population
Medical Records
Early Diagnosis
Appointments and Schedules
Morbidity
Mortality

ASJC Scopus subject areas

  • Health Policy

Cite this

Survey finds that many prisons and jails have room to improve HIV testing and coordination of postrelease treatment. / Solomon, Liza; Montague, Brian T.; Beckwith, Curt G.; Baillargeon, Jacques; Costa, Michael; Dumont, Dora; Kuo, Irene; Kurth, Ann.

In: Health Affairs, Vol. 33, No. 3, 03.2014, p. 434-442.

Research output: Contribution to journalArticle

Solomon, Liza ; Montague, Brian T. ; Beckwith, Curt G. ; Baillargeon, Jacques ; Costa, Michael ; Dumont, Dora ; Kuo, Irene ; Kurth, Ann. / Survey finds that many prisons and jails have room to improve HIV testing and coordination of postrelease treatment. In: Health Affairs. 2014 ; Vol. 33, No. 3. pp. 434-442.
@article{bc4501d3e6614bc7955f22ac1b8e878a,
title = "Survey finds that many prisons and jails have room to improve HIV testing and coordination of postrelease treatment",
abstract = "Early diagnosis of HIV and effective antiretroviral treatment are key elements in efforts to reduce the morbidity and mortality associated with HIV. Incarcerated populations are disproportionately affected by HIV, with the disease's prevalence among inmates estimated to be three to five times higher than among the general population. Correctional institutions offer important opportunities to test for HIV and link infected people to postrelease treatment services. To examine HIV testing and policies that help HIV-positive people obtain treatment in the community after release, we administered a survey to the medical directors of the fifty state prison systems and of forty of the largest jails in the United States. We found that 19 percent of prison systems and 35 percent of jails provide opt-out HIV testing, which is recommended by the Centers for Disease Control and Prevention (CDC). Additionally, fewer than 20 percent of prisons and jails conform to the CDC's recommendations regarding discharge planning services for inmates transitioning to the community: making an appointment with a community health care provider, assisting with enrollment in an entitlement program, and providing a copy of the medical record and a supply of HIV medications. These findings suggest that opportunities for HIV diagnosis and linking HIV-positive inmates to community care after release are being missed in the majority of prison systems and jails",
author = "Liza Solomon and Montague, {Brian T.} and Beckwith, {Curt G.} and Jacques Baillargeon and Michael Costa and Dora Dumont and Irene Kuo and Ann Kurth",
year = "2014",
month = "3",
doi = "10.1377/hlthaff.2013.1115",
language = "English (US)",
volume = "33",
pages = "434--442",
journal = "Health Affairs",
issn = "0278-2715",
publisher = "Project Hope",
number = "3",

}

TY - JOUR

T1 - Survey finds that many prisons and jails have room to improve HIV testing and coordination of postrelease treatment

AU - Solomon, Liza

AU - Montague, Brian T.

AU - Beckwith, Curt G.

AU - Baillargeon, Jacques

AU - Costa, Michael

AU - Dumont, Dora

AU - Kuo, Irene

AU - Kurth, Ann

PY - 2014/3

Y1 - 2014/3

N2 - Early diagnosis of HIV and effective antiretroviral treatment are key elements in efforts to reduce the morbidity and mortality associated with HIV. Incarcerated populations are disproportionately affected by HIV, with the disease's prevalence among inmates estimated to be three to five times higher than among the general population. Correctional institutions offer important opportunities to test for HIV and link infected people to postrelease treatment services. To examine HIV testing and policies that help HIV-positive people obtain treatment in the community after release, we administered a survey to the medical directors of the fifty state prison systems and of forty of the largest jails in the United States. We found that 19 percent of prison systems and 35 percent of jails provide opt-out HIV testing, which is recommended by the Centers for Disease Control and Prevention (CDC). Additionally, fewer than 20 percent of prisons and jails conform to the CDC's recommendations regarding discharge planning services for inmates transitioning to the community: making an appointment with a community health care provider, assisting with enrollment in an entitlement program, and providing a copy of the medical record and a supply of HIV medications. These findings suggest that opportunities for HIV diagnosis and linking HIV-positive inmates to community care after release are being missed in the majority of prison systems and jails

AB - Early diagnosis of HIV and effective antiretroviral treatment are key elements in efforts to reduce the morbidity and mortality associated with HIV. Incarcerated populations are disproportionately affected by HIV, with the disease's prevalence among inmates estimated to be three to five times higher than among the general population. Correctional institutions offer important opportunities to test for HIV and link infected people to postrelease treatment services. To examine HIV testing and policies that help HIV-positive people obtain treatment in the community after release, we administered a survey to the medical directors of the fifty state prison systems and of forty of the largest jails in the United States. We found that 19 percent of prison systems and 35 percent of jails provide opt-out HIV testing, which is recommended by the Centers for Disease Control and Prevention (CDC). Additionally, fewer than 20 percent of prisons and jails conform to the CDC's recommendations regarding discharge planning services for inmates transitioning to the community: making an appointment with a community health care provider, assisting with enrollment in an entitlement program, and providing a copy of the medical record and a supply of HIV medications. These findings suggest that opportunities for HIV diagnosis and linking HIV-positive inmates to community care after release are being missed in the majority of prison systems and jails

UR - http://www.scopus.com/inward/record.url?scp=84896820002&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84896820002&partnerID=8YFLogxK

U2 - 10.1377/hlthaff.2013.1115

DO - 10.1377/hlthaff.2013.1115

M3 - Article

VL - 33

SP - 434

EP - 442

JO - Health Affairs

JF - Health Affairs

SN - 0278-2715

IS - 3

ER -