title: Health outcomes for HIV-infected persons released from the New York City jail system with a transitional care-coordination plan.
abstract: OBJECTIVE
  We sought to assess 6-month outcomes for HIV-infected people released from New York City jails with a transitional care plan.
  
  
  METHODS
  Jail detainees in New York City living with HIV who accepted a transitional care plan during incarceration were asked to participate in a multi-site evaluation aimed at improving linkages to community-based care. The evaluation included a 6-month follow-up; HIV surveillance data were used to assess outcomes for those considered lost to follow-up.
  
  
  RESULTS
  Participants (n=434) completed baseline surveys during incarceration in a jail in New York City. Of those seen at 6 months (n=243), a greater number were taking antiretroviral medications (92.6% vs 55.6%), had improved antiretroviral therapy adherence (93.2% vs 80.7%), and reported significant reductions in emergency department visits (0.20 vs 0.60 visits), unstable housing (4.15% vs 22.4%), and food insecurity (1.67% vs 20.7%) compared with baseline.
  
  
  CONCLUSIONS
  Transitional care coordination services facilitate continuity of care and improved health outcomes for HIV-positive people released from jail.
authors.affiliation: Paul A. Teixeira, Alison O. Jordan, Dipal Shah, and Homer Venters are with the New York City Department of Health and Mental Hygiene, Queens, New York. Nicolas Zaller is with the Division of Infectious Diseases, The Miriam Hospital, Providence, RI, and Alpert Medical School, Brown University, Providence.
authors.forename: Paul A
authors.initials: PA
authors.lastname: Teixeira
authors.forename: Alison O
authors.initials: AO
authors.lastname: Jordan
authors.forename: Nicolas
authors.initials: N
authors.lastname: Zaller
authors.forename: Dipal
authors.initials: D
authors.lastname: Shah
authors.forename: Homer
authors.initials: H
authors.lastname: Venters
mesh_terms: D000328:Adult; D019380:Anti-HIV Agents / Q000627:therapeutic use; D003266:Continuity of Patient Care; D005260:Female; D015658:HIV Infections / Q000188:drug therapy / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009519:New York City; D063868:Patient Outcome Assessment; D011329:Prisoners / Q000706:statistics & numerical data; D011330:Prisons / Q000458:organization & administration; D016903:Drug Monitoring
chemical_list: D019380:Anti-HIV Agents