Title

Jails, HIV Testing, and Linkage to Care Services: An Overview of the EnhanceLink Initiative

Document Type

Article

Publication Date

10-27-2012

Publication Title

AIDS and Behavior

Volume

17

Issue

2

First page number:

100

Last page number:

1007

Abstract

Over 9 million persons in the United States (US) are admitted each year to jails. HIV prevalence among detainees is higher than the general population, which creates a public health need for linking HIV-infected detainees to services during jail and after release. The EnhanceLink initiative was funded as demonstration projects in 10 communities at 20 separate jails across the US. Grantees implemented and evaluated innovative models of HIV testing in jails and linkage of HIV-infected individuals to community services post release. In this paper, we describe services delivered with the EnhanceLink initiative. During 877,119 admission events, 210,267 inmates agreed to HIV testing and 822 new diagnoses of HIV were made. The majority of persons served with transitional services were previously diagnosed before the current incarceration. Cumulatively, 9,837 HIV+ persons were offered linkage and transitional services and 8,056 (82 %) accepted the offer. EnhanceLink demonstrated the feasibility of HIV testing in jail settings and provision of linkage services to enhance continuity of HIV care post-release.

Keywords

HIV/AIDS; HIV testing; Incarceration; Inmate; Jail

Disciplines

Health Services Research | Immunology and Infectious Disease

Language

English

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