OBJECTIVES: To compare the effectiveness of patient navigation-enhanced case management in supporting engagement in HIV care upon release from jail relative to existing services. METHODS: We randomized 270 HIV-infected individuals to receivenavigation-enhanced case management for 12 months or standard case management for 90 days following release from jail between 2010 and 2013. Participants were interviewed at 2, 6, and 12 months after release. We abstracted medical data from jail and city health records. RESULTS:Patient navigation-enhanced case management resulted in greater linkage to care within 30 days of release (odds ratio [OR] = 2.15; 95% confidence interval [CI] = 1.23, 3.75) and consistent retention over 12 months (OR = 1.95; 95% CI = 1.11, 3.46). Receipt of treatment for substance use disorders in jail also resulted in early linkage (OR = 4.06; 95% CI = 1.93, 8.53) and retention (OR = 2.52; 95% CI = 1.21, 5.23). Latinos were less likely to be linked to (OR = 0.35; 95% CI = 0.14, 0.91) or retained in (OR = 0.28; 95% CI = 0.09, 0.82) HIV care. CONCLUSIONS:Patient navigation supports maintaining engagement in care and can mitigate health disparities, and should become the standard of care for HIV-infected individuals leaving jail.
RCT Entities:
OBJECTIVES: To compare the effectiveness of patient navigation-enhanced case management in supporting engagement in HIV care upon release from jail relative to existing services. METHODS: We randomized 270 HIV-infected individuals to receive navigation-enhanced case management for 12 months or standard case management for 90 days following release from jail between 2010 and 2013. Participants were interviewed at 2, 6, and 12 months after release. We abstracted medical data from jail and city health records. RESULTS:Patient navigation-enhanced case management resulted in greater linkage to care within 30 days of release (odds ratio [OR] = 2.15; 95% confidence interval [CI] = 1.23, 3.75) and consistent retention over 12 months (OR = 1.95; 95% CI = 1.11, 3.46). Receipt of treatment for substance use disorders in jail also resulted in early linkage (OR = 4.06; 95% CI = 1.93, 8.53) and retention (OR = 2.52; 95% CI = 1.21, 5.23). Latinos were less likely to be linked to (OR = 0.35; 95% CI = 0.14, 0.91) or retained in (OR = 0.28; 95% CI = 0.09, 0.82) HIV care. CONCLUSIONS:Patient navigation supports maintaining engagement in care and can mitigate health disparities, and should become the standard of care for HIV-infected individuals leaving jail.
Authors: Nickolas D Zaller; Leah Holmes; Angela C Dyl; Jennifer A Mitty; Curt G Beckwith; Timothy P Flanigan; Josiah D Rich Journal: J Health Care Poor Underserved Date: 2008-05
Authors: Anne C Spaulding; Lauren C Messina; Bryan I Kim; Koo-Whang Chung; Thomas Lincoln; Paul Teixeira; Ann K Avery; Marc Cunningham; Matthew S Stein; Divya Ahuja; Timothy P Flanigan Journal: AIDS Behav Date: 2013-10
Authors: Kimberly A Koester; Mark Morewitz; Charles Pearson; John Weeks; Rebecca Packard; Milton Estes; Jacqueline Tulsky; Mi Suk Kang-Dufour; Janet J Myers Journal: AIDS Patient Care STDS Date: 2014-02 Impact factor: 5.078
Authors: Anne Spaulding; Becky Stephenson; Grace Macalino; William Ruby; Jennifer G Clarke; Timothy P Flanigan Journal: Clin Infect Dis Date: 2002-07-03 Impact factor: 9.079
Authors: Jacques Baillargeon; Thomas P Giordano; Josiah D Rich; Z Helen Wu; Katherine Wells; Brad H Pollock; David P Paar Journal: JAMA Date: 2009-02-25 Impact factor: 56.272
Authors: Serena Rajabiun; Janell Tryon; Matt Feaster; Amy Pan; Lisa McKeithan; Karen Fortu; Howard J Cabral; Deborah Borne; Frederick L Altice Journal: Am J Public Health Date: 2018-12 Impact factor: 9.308
Authors: Matthew Moher; Margaret Erickson; Paleah Black; Morgan Price; Christopher Fraser; Wendy V Norman; Silvia Guillemi; Neora Pick; Ruth Elwood Martin Journal: AIDS Behav Date: 2021-10-27
Authors: Noor Taweh; Esther Schlossberg; Cynthia Frank; Ank Nijhawan; Irene Kuo; Kevin Knight; Sandra A Springer Journal: Int J Drug Policy Date: 2021-05-18
Authors: Sabriya L Linton; Don C Des Jarlais; Joseph T Ornstein; Matt Kasman; Ross Hammond; Behzad Kianian; Justin C Smith; Mary E Wolfe; Zev Ross; Danielle German; Colin Flynn; Henry F Raymond; R Monina Klevens; Emma Spencer; John-Mark Schacht; Teresa Finlayson; Gabriela Paz-Bailey; Cyprian Wejnert; Hannah L F Cooper Journal: Int J Drug Policy Date: 2021-03-31
Authors: Sharleen M Traynor; Lisa R Metsch; Lauren Gooden; Maxine Stitzer; Tim Matheson; Susan Tross; Adam W Carrico; Mamta K Jain; Carlos Del Rio; Daniel J Feaster Journal: Drug Alcohol Depend Date: 2021-02-03 Impact factor: 4.492