Seek, Test, Treat, Retain: An Integrated Jail-Prison-Community Model for Illinois

This study is not yet open for participant recruitment. (see Contacts and Locations)
Verified May 2013 by University of Illinois at Chicago
Sponsor:
Information provided by (Responsible Party):
Lawrence J. Ouellet, Ph.D., University of Illinois
ClinicalTrials.gov Identifier:
NCT01852877
First received: May 8, 2013
Last updated: May 9, 2013
Last verified: May 2013

May 8, 2013
May 9, 2013
July 2013
June 2017   (final data collection date for primary outcome measure)
Change in HIV viral load [ Time Frame: baseline and 6, 12, 18 months post-baseline ] [ Designated as safety issue: No ]
Same as current
Complete list of historical versions of study NCT01852877 on ClinicalTrials.gov Archive Site
  • Change in CD4 cell count [ Time Frame: baseline and 6, 12, 18 months post-baseline ] [ Designated as safety issue: No ]
  • Change in community-level HIV viral load [ Time Frame: baseline and 18 months post-baseline ] [ Designated as safety issue: No ]
Same as current
  • Change in adherence to HIV medication [ Time Frame: baseline and 6, 12, 18 months post-baseline ] [ Designated as safety issue: No ]
  • Change in visits to HIV medical care provider [ Time Frame: baseline and 6, 12, 18 months post-baseline ] [ Designated as safety issue: No ]
Same as current
 
Seek, Test, Treat, Retain: An Integrated Jail-Prison-Community Model for Illinois
Seek, Test, Treat: An Integrated Jail-Prison-Community Model for Illinois

Aim-1: Evaluate opt-out versus opt-in testing for the human immunodeficiency virus (HIV) at the Cook County jail and the Illinois Department of Corrections Northern Intake facilities. Outcomes of interest include a) uptake of each HIV testing strategy, b) comparative effectiveness of identifying HIV-positive cases, new cases and undisclosed cases, and c) predictors of HIV testing.

Aim-2: Evaluate two case management strategies - "correctional case management" and "transitional case management" - designed to improve linkage and adherence to appropriate medical care after release from incarceration. Correctional case management is a longer-term, more intense approach while transitional case management seeks to meet the clients' immediate needs, link them to Ryan White case management, and then support the Ryan White case manager in assisting these clients. Correctional case management will be compared to the standard of care for jail detainees, and to transitional case management for persons leaving prison. Outcomes of interest include, (a) HIV viral load and CD4 cell counts over time, (b) adherence to medication, and (c) visits to medical providers.

Aim-3: Evaluate the impact of an incentive for HIV-positive detainees released from jail to visit an HIV service organization where they can be linked to medical care and case management. Outcomes of interest are essentially the same as Aim-2.

Aim-4: Assess university-based telemedicine as means to improve care of state prison inmates living with HIV. Outcomes of interest include medication regimens, HIV viral load and CD4 cell counts, and associated health conditions.

Aim-5: Assess the uptake of partner notification and social network HIV counseling and testing involving HIV-positive persons released from jail and prison as a means to extend the reach of the 'seek, test, treat and retain' (STTR) model into the community.

Aim-6: Assess the impact of this STTR model on community viral load in the six Chicago community areas with the largest number of incarcerated persons. Two outcome measures will be used: mean and total HIV viral load.

Not Provided
Observational
Observational Model: Cohort
Time Perspective: Prospective
Not Provided
Retention:   Samples Without DNA
Description:

Blood serum

Non-Probability Sample

Detainees in Cook County Jail Prisoners in the Illinois Department of Corrections

HIV Infections
  • Behavioral: Correctional case management
    Correctional case management is a long-term (18-24 months) program that seeks to improve the linkage of HIV-positive persons recently released from jail or prison to community-based HIV care, retain them in care, and reduce recidivism. Compared to the long-standing Ryan White case management program, corrections case management has greater access to housing and a greater emphasis on employment. Clients completing the program are then linked to the Ryan White case management program.
  • Behavioral: Transitional case management
    Transitional case management seeks to meet the immediate needs of HIV-positive persons leaving prison, then link them to Ryan White case management and support the Ryan White case manager in assisting these clients.
  • Jail detainees
    For all jail detainees, we will observe the uptake of opt-out and opt-in HIV testing. For HIV-positive jail detainees leaving jail, we will observe 1) health outcomes for corrections case management versus the standard of care, 2) the impact of an incentive to visit an HIV service organization after release from jail, and 3) the uptake of partner notification and social network HIV counseling and testing after release from jail.
    Intervention: Behavioral: Correctional case management
  • HIV-positive prisoners
    We will compare outcomes for for HIV-positive prisoners before and after the implementation of telemedicine to deliver HIV medical care. For HIV-positive prisoners released from prison and returning to Chicago, we will observe health outcomes for corrections case management versus transition case management.
    Interventions:
    • Behavioral: Correctional case management
    • Behavioral: Transitional case management
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Not yet recruiting
3487
Not Provided
June 2017   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • For assessing opt-out and opt-in HIV testing: all detainees in Cook County Jail and all prisoners in the Northern Intake facilities of the Illinois Department of Corrections (IDOC)
  • For assessing telemedicine: all HIV-positive IDOC prisoners who have received treatment for HIV. -- For assessing case management: all IDOC HIV telemedicine patients who have been released from prison and returned to Chicago in the past 60 days, and all known HIV-positive jail detainees likely to be returning the community (Chicago) within 60 days of contact with the jail's HIV clinic
  • For assessing a post-release incentive to visit an HIV service organization, and uptake of post-release partner notification and social network HIV testing: all former detainees participating in the case management evaluation

Exclusion Criteria:

  • Less than 18 years old
  • Unable to speak English or Spanish
  • Incapable of providing informed consent
  • For jail detainees: being under extradition to a locale outside Cook County or a high likelihood of being sent to prison rather than being released to the community
  • For prison inmates: being under extradition to a locale outside Illinois
Both
18 Years and older
No
Contact: Lawrence J Ouellet, PhD 312-355-0145 ljo@uic.edu
Contact: Karen Zynda, MPH, RD 312-355-0227 kzynda@uic.edu
United States
 
NCT01852877
1R01DA030796
Not Provided
Lawrence J. Ouellet, Ph.D., University of Illinois
University of Illinois at Chicago
Not Provided
Principal Investigator: Lawrence J Ouellet, PhD University of Illinois at Chicago
Principal Investigator: Jeremy D Young, MD University of Illinois at Chicago
Principal Investigator: Michael Puisis, DO Cermak Health Services, Cook County
University of Illinois at Chicago
May 2013

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP