AID ATLANTA 1605 Peachtree Street ATLANTA, GA

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AID ATLANTA1605 Peachtree Street ATLANTA, GA

• Enhancing Linkages to HIV Primary Care in Jail
  Settings
• Grantee Meeting
• October 25-26, 2007
• Rockville, MD

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CDP Project Description

• Four Phase Program
• Referral and Enrollment
• Pre-Release Intensive Case Management
• Post- Release Medical Care Coordination,
  Substance Abuse Treatment, Housing and Intensive
  Case Management
• After Care and Life rebuilding

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Project Goals and Objectives

• Demonstrate
• the significance of providing coordination and
  immediate access to HIV primary medical services
  once released from jail
• the need, effectiveness and benefits of enhanced
  case management, discharge planning, and medical
  care coordination to HIV inmates during the
  pre-release, post-release and continued follow-up
  
• the significance of intensive substance abuse
  treatment and supportive housing in conjunction
  with enhanced case management, medical care
  coordination, and community follow-up for
  recently released HIV inmates
• the significance of continued maintenance and
  housing support upon completion of intensive
  substance abuse treatment

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Enhancements to Existing Services available for
HIV Inmates

• Pre release Intensive case management,
  discharge planning, primary care medical
  appointment, coordination of immediate
  transportation to substance abuse treatment.
• Post release Intensive Case Management (e.g.
  transportation, SA treatment, court advocacy,
  clothing, meals, toiletries, referrals for stable
  housing and job training opportunities) and
  Medical Care Coordination.
• Enhanced Linkages Immediate substance abuse
  treatment and transitional housing, medical
  appointment within 2 weeks of release, triage for
  SA treatment based on severity of need,
  assistance with additional housing upon
  graduation from intensive SA treatment, intensive
  medical adherence interventions.

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Project Team and Collaborative Partners

• Jean Porter, Project Manager
• Chava Bowden, Medical Release Coordinator
• CDP Case Manager, Vacant
• Jeffrey Porterfield, Ph.D, Evaluator
• Dekalb County Jail
• STAND, Inc. - Substance Abuse Treatment and
  Transitional Housing
• Our Common Welfare, Inc.- Outpatient Substance
  Abuse Treatment, Support Groups
• Morehouse Medical Associates Inc. - HIV Primary
  Care

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Target Population

• 25-30 people/year are targeted
• Demographics of target population
• - HIV adult males(18)
• - any race
• - 300 below the poverty level
• Geography
• - adult, male, Metro Atlanta residents arrested
  in Dekalb County

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Local Evaluation Strategy

• Process evaluation design
• Continuous Quality Improvement techniques
• Regularly scheduled local project meetings
  relative to project progress, challenges/barriers,
  and over all status
• Informal qualitative data acquisition
• Outcome evaluation design
• - repeated measures (test/retest or
  pretest/posttest) the pretest establishes
  baseline measures prior to receipt of any
  programming activities and services follow-up
  posttest assess change subsequent programming

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Local Data Collection

• Data collected
• individual Level (Independent, Dependent and
  Intervening Constructs)
• program level
• systems level
• Method of data collection
• face-to-face interviews, direct observation, and
  shadowing
• continuous review of relative literature,
  documents, operational and organizational
  processes, and social interactions
• data manager will enter raw data into multi-site
  and local aggregate database
• Data collected by whom
• CDP Case Manager

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Outcomes

• Health Indicators
• Substance Use/Abuse Status
• Recidivism Rates
• Housing Status
• Employment Status

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Expected Challenges Possible Solutions

• Challenges
• - Newly released inmates with dual diagnoses
• Medically fragile inmates
• Solutions
• - Establish additional relationships/partnerships
  with other existing agencies that are more
  appropriate for referral concerning issues beyond
  the projects purview
• - Multidisciplinary Meetings

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Contact Information

• Jean Porter, CDP Project Director
• AID Atlanta, Inc.
• 1605 Peachtree St. NE
• Atlanta, GA 30309
• 404-870-7795
• 404-870-7809 Fax