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"I don't have to do this all by myself": Systems Navigation to Ensure Continuity of HIV Care for Persons Leaving Prison. AIDS Behav 2019 Jan;23(Suppl 1):14-24

Date

02/15/2018

Pubmed ID

29442194

DOI

10.1007/s10461-018-2050-4

Scopus ID

2-s2.0-85041913609   10 Citations

Abstract

Ensuring continuity of and retention in care after release from prison is critical for optimizing health outcomes among people living with HIV. As part of a large federal initiative, we conducted qualitative interviews (n = 24) with individuals living with HIV and recently released from prison in four states to understand their experiences in different navigation interventions to improve access to HIV care post-release. Interventions were delivered only in prison, only in the community, or in both settings. While the interventions varied by design, overall, participants appreciated the breadth of support received from interventionists, including health system navigation, case management and social support. Even when individuals leaving prison were returning to clinics that they were familiar with, systems navigation supported continuity of care. Our findings elucidate why navigational support was instrumental, and underscore the value of a variety of types of navigation programs in facilitating continuity of care and reintegration post-prison.

Author List

Fuller SM, Koester KA, Maiorana A, Steward WT, Broaddus MR, Lass K, Zamudio-Haas S, Quinlivan EB, Myers JJ

Author

Michelle R. Broaddus PhD Associate Professor in the Psychiatry department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adult
Continuity of Patient Care
Delivery of Health Care
Female
HIV Infections
Health Services Research
Humans
Male
Middle Aged
Patient Navigation
Prisoners
Prisons
Social Support
United States