Transitions: Linkages From Jail To Community

This study has been completed.
Information provided by (Responsible Party):
Yale University Identifier:
First received: February 10, 2009
Last updated: August 26, 2014
Last verified: August 2014

TRANSITIONS, a novel jail-release program for People Living with HIV/AIDS (PLWHA), will use evidence-based interventions and adapt them to create a comprehensive transitional program in Waterbury and New Haven County, Connecticut. Evidence-based interventions will include, but not be limited to, enhanced rapid HIV testing within the New Haven Community Correctional Center (NHCCC, local jail), intensive case management, continuity of buprenorphine treatment from the jail to the community setting and a novel Money Management (MM) program.

The HIV in Prisons Program and the Community Health Care Van (CHCV) at the Yale University AIDS Program, in collaboration with the Connecticut Department of Correction and the Waterbury Hospital Infectious Diseases Clinic, propose to expand the availability of opiate substitution treatment and to enhance clinical and social services for PLWHA, who are transitioning from the jail to the community setting.

As part of Transitions, we will develop a model Money Management program that we have used in community settings to improve health outcomes for socially and medically marginalized populations and adapt it for a jail-release program. The Transitions program will incorporate these elements into a combined intervention and will result in a clinical trial to compare the additional contribution of a money management program.

Condition Intervention
Substance Abuse
HIV Infections
Behavioral: Intensive Case Management
Drug: Buprenorphine
Behavioral: Money Management

Study Type: Interventional
Study Design: Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Supportive Care
Official Title: Transitions: Linkages From Jail to Community

Resource links provided by NLM:

Further study details as provided by Yale University:

Primary Outcome Measures:
  • Substance use outcomes measured by self-report [ Time Frame: weekly reporting ] [ Designated as safety issue: No ]
  • Urine toxicology results [ Time Frame: weekly report ] [ Designated as safety issue: No ]

Enrollment: 127
Study Start Date: September 2008
Study Completion Date: August 2013
Primary Completion Date: August 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Behavioral counseling Behavioral: Intensive Case Management
Transitions involves the integration of evidence-based interventions, intensive case management that incorporates outreach elements similar to assertive community treatment (ACT). Intensive case management goes beyond the tenets of case management and incorporates community outreach. This model of case management has its roots in assertive community treatment (ACT) and has demonstrated a 37% greater reduction in homelessness and a 26% greater improvement in psychiatric symptom severity compared with standard case management treatments. As such, intensive case management is likely to result in important outcomes for the target population, is evidence-based and has been validated in prison-release programs.
Drug: Buprenorphine
All participants that have a history of opiate dependency and need treatment with opiate substitution therapy will be offered Buprenorphine as an option for their substance use. For those who need additional or more structured treatment will be referred to methadone maintenance program.
Behavioral: Money Management
All participants will be offered money management as a component for further assistance to this population who need financial management services in order to stabilize them and help with the transition back into the community upon release from incarceration.

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Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • HIV Seropositive
  • 18 years of age or older
  • male and female
  • incarcerated but not sentenced inmates
  • releasing to New Haven area
  • releasing to Waterbury area
  • within 30 days post release from jail

Exclusion Criteria:

Not meeting inclusion criteria

  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT00841711

United States, Connecticut
Yale Clinical Research
New Haven, Connecticut, United States, 06510
Waterbury Hosp ID Clinic
Waterbury, Connecticut, United States, 06708
Sponsors and Collaborators
Yale University
Principal Investigator: Frederick L Altice, MD Yale University
  More Information


Responsible Party: Yale University Identifier: NCT00841711     History of Changes
Other Study ID Numbers: 0711003262  H97HA08541 
Study First Received: February 10, 2009
Last Updated: August 26, 2014
Health Authority: United States: Institutional Review Board

Keywords provided by Yale University:
Intensive Case Management
Money Management
Rapid Testing
Substance Abuse
Opioid Dependance
Inmate Population

Additional relevant MeSH terms:
Analgesics, Opioid
Central Nervous System Depressants
Narcotic Antagonists
Peripheral Nervous System Agents
Physiological Effects of Drugs
Sensory System Agents processed this record on May 23, 2016