title: Improvements in Correctional HIV Services: A Case Study in Delaware.
abstract: This article describes the experience and outcomes of the National Institute on Drug Abuse-funded Criminal Justice Drug Abuse Treatment Studies HIV Services and Treatment Implementation in Corrections protocol in the state of Delaware. The protocol was designed to test the effectiveness of a change team model in improving HIV services in correctional settings. In Delaware, a team was created with representatives from correctional and community agencies to work on improving linkage to HIV care for individuals released from incarceration. The team made improvements in the entire HIV service continuum: linkage to HIV care, HIV education, and HIV testing. The experiences in Delaware and the findings from this study suggest that the use of a change team model is a viable method for making organizational change in correctional settings.
authors: Center for Drug and Health Studies, University of Delaware, Newark, DE, USA hswan@udel.edu.
authors: Holly
authors: H
authors: Swan
authors: Center for Drug and Health Studies, University of Delaware, Newark, DE, USA.
authors: Daniel J
authors: DJ
authors: O'Connell
authors: Center for Drug and Health Studies, University of Delaware, Newark, DE, USA.
authors: Christy A
authors: CA
authors: Visher
authors: Center for Drug and Health Studies, University of Delaware, Newark, DE, USA.
authors: Steven S
authors: SS
authors: Martin
authors: Christiana Care HIV Community Program, Wilmington, DE, USA.
authors: Karen R
authors: KR
authors: Swanson
authors: Howard R. Young Correctional Institution, Wilmington, DE, USA.
authors: Kristin
authors: K
authors: Hernandez
mesh_terms: D003159:Community-Institutional Relations; D003266:Continuity of Patient Care / Q000458:organization & administration* / Q000592:standards; D003691:Delaware; D003695:Delivery of Health Care / Q000458:organization & administration* / Q000592:standards; D015658:HIV Infections / Q000175:diagnosis / Q000517:prevention & control / Q000628:therapy*; D006266:Health Education / Q000379:methods / Q000458:organization & administration*; D006801:Humans; D054577:National Institute on Drug Abuse (U.S.); D019982:Organizational Case Studies; D009936:Organizational Innovation; D017063:Outcome Assessment, Health Care; D011330:Prisons / Q000458:organization & administration*; D058996:Quality Improvement / Q000458:organization & administration* / Q000592:standards; D013192:Staff Development; D014481:United States
keywords: HIV/AIDS; case study; correctional health care; process improvement