Criminal Justice Coordinated Transitional Care (CJC-TraC)

University of Wisconsin (UW)

Status: Completed

Conditions: Hepatitis C; HIV; Substance Use Disorders

Treatments: Other: CJC-TraC

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT05376371

1R01DA047889-01A1 (U.S. NIH Grant/Contract)

2022-0398

A534265 (Other Identifier)

Protocol Version 6/9/2024 (Other Identifier)

Details and patient eligibility

About

This project aims to enroll 220 incarcerated individuals living with HIV, Hepatitis C (HCV), or history of substance misuse preparing for release into a pilot implementation study to test the feasibility and acceptability of an adapted Coordinated Transitional Care intervention in a Criminal Justice setting (CJC-TraC). Participants can expect to be on study for up to 6 months.

Full description

This protocol describes the second, implementation phase of a 5-year NIH-funded research project designed to evaluate post-incarceration health care utilization and outcomes for underserved people living with HIV, HCV and substance use disorder.

In the first study phase, conducted from 2020-21, the investigators analyzed Wisconsin Medicaid data to characterize the baseline level of outpatient care utilization for adults during their first 6 months after release from prison, and conducted formative research necessary to adapt an existing transitional care intervention, called C-TraC, to support individuals leaving prison.

The current project aims to enroll participants in a pilot implementation study to test the feasibility and acceptability of the adapted intervention in a criminal justice setting, which has been given the name "CJC-TraC."

Participants will be enrolled from one of two institutions:

• men from Oakhill Correctional Institute (OCI)
• women from the Wisconsin Women's Correctional System (WWCS)

Primary Objectives: To evaluate the feasibility and acceptability of CJC-TraC when implemented in a state prison system.

Secondary Objectives: To gather preliminary evidence describing the effectiveness of CJC-TraC for improving the rate of outpatient care utilization.

Enrollment: 219 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Able to understand and speak in English
• Plans to reside in Wisconsin after release
• Eligible for Wisconsin Medicaid and willing to enroll prior to release
• Has a history of one or more of the following: current HIV infection, current or past HCV infection, identified need for substance use related services based on Correctional Offender Management Profiling for Alternative Sanctions (COMPAS) assessment
• Anticipated release date (must be within 6 months of review)

Exclusion criteria

• Unable to provide informed consent form or impaired ability to make decisions
• Planned discharge to another correctional facility or other carceral setting (e.g. release to jail or immigration detention center)

Trial design

Primary purpose: Supportive Care

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

---

219 participants in 1 patient group

CJC-TraC Intervention

Experimental group

Description:

Incarcerated individuals with HIV, hepatitis C, or substance use disorder readying for release will enroll in the CJC-TraC intervention intended to assist in transitioning their health care.

Treatment:

Other: CJC-TraC