title: Integrated recovery management model for ex-offenders with co-occurring mental health and substance use disorders and high rates of HIV risk behaviors.
abstract: This paper provides outcomes from an evaluation of a federally funded program combining HIV prevention services with an integrated mental health and substance abuse treatment program to a population of primarily African American ex-offenders living with, or at high risk for contracting HIV in Memphis, Tennessee. During the 5-year evaluation, data were collected from 426 individuals during baseline and 6-month follow-up interviews. A subset of participants (n = 341) completed both interviews. Results suggest that the program was successful in reducing substance use and mental health symptoms but had mixed effects on HIV risk behaviors. These findings are important for refining efforts to use an integrated services approach to decrease (a) the effects of substance use and mental health disorders, (b) the disproportionate impact of criminal justice system involvement, and (c) the HIV infection rate in African American ex-offenders in treatment.
authors: Department of Community Practice Nursing, School of Nursing, University of North Carolina Greensboro, Greensboro, North Carolina, USA.
authors: Randolph F R
authors: RF
authors: Rasch
authors: Dawn
authors: D
authors: Davidson
authors: John
authors: J
authors: Seiters
authors: Samuel A
authors: SA
authors: MacMaster
authors: Susie
authors: S
authors: Adams
authors: Kathleen
authors: K
authors: Darby
authors: R Lyle
authors: RL
authors: Cooper
mesh_terms: D000328:Adult; D001741:Black or African American; D015897:Comorbidity; D003266:Continuity of Patient Care; D057237:Criminals; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D005260:Female; D005500:Follow-Up Studies; D015658:HIV Infections / Q000517:prevention & control*; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology* / Q000534:rehabilitation / Q000628:therapy; D008603:Mental Health; D008875:Middle Aged; D017146:Models, Organizational; D015397:Program Evaluation; D011613:Psychotherapy; D011788:Quality of Life; D012309:Risk-Taking; D012944:Social Support; D012959:Socioeconomic Factors; D019966:Substance-Related Disorders / Q000453:epidemiology* / Q000534:rehabilitation / Q000628:therapy; D013714:Tennessee; D016896:Treatment Outcome
keywords: African Americans; HIV; ex-offenders; prevention; substance use