Health and Justice: A Continuum of Care for HIV and SU for Justice-Involved Young Adults (PHASE 2)

New York State Psychiatric Institute

Status: Completed

Conditions: Sexually Transmitted Diseases; Substance Use; Substance Use Disorders; Substance Abuse; HIV Infections; HIV/AIDS

Treatments: Behavioral: Link2CARE

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT03369249

R01DA043122 (U.S. NIH Grant/Contract)

7574

Details and patient eligibility

About

This research study proposes to embed HIV testing outreach workers from a young adult focused medical and HIV treatment program into an alternative sentencing program to deliver a new service delivery model (Link2CARE) that integrates evidence-based protocols for justice-involved young adults to: a) promote HIV and STI testing, and HIV and SU risk screening, b) provide onsite intervention, and c) cross-system linkage to HIV, STI, and SU care. Phase 1 has already been completed. In phase 1, the intervention components were adapted for use among justice involved young adults and the resulting protocols were piloted with justice involved young adults, finalizing the resulting 4-session Link2CARE intervention. In phase 2, we will test Link2CARE among N=450 justice-involved young adults enrolled at the alternative sentencing program and conduct process evaluations with N=15 alternative sentencing program staff.

Enrollment: 307 patients

Sex: All

Ages: 18 to 80 years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

Young Adults

Inclusion Criteria:

• Between 18-24 years of age
• Currently enrolled at the alternative to sentencing program
• Conversant in English
• Engaged in any unprotected or vaginal sexual activity (in the past 12 months)

Exclusion Criteria:

• Cognitively unable to complete the interview
• HIV positive

Alternative to Sentencing Staff

Inclusion Criteria:

• Currently employed at the alternative to sentencing program
• Between ages of 18-80

Exclusion Criteria:

• None

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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307 participants in 2 patient groups

Link2CARE

Experimental group

Description:

This arm is comprised of participants randomized to the 4-session Link2CARE intervention.

Treatment:

Behavioral: Link2CARE

Standard of Care

No Intervention group

Description:

This arm is comprised of participants who will not receive the 4-session Link2CARE intervention.