A study protocol for a randomized controlled trial of a cross-systems service delivery model to improve identification and care for HIV, STIs and substance use among justice-involved young adults
Abstract Background Justice-involved young adults (JIYA) aged 18–24 are at significant risk for HIV and problematic substance use (SU) but are unlikely to know their HIV status or be linked to HIV or SU treatment and care. Intensive efforts to increase screening and improve linkage to HIV and SU ser...
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| Format: | Article |
| Language: | English |
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BMC
2020-08-01
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| Series: | Health & Justice |
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| Online Access: | http://link.springer.com/article/10.1186/s40352-020-00121-7 |
| _version_ | 1818913047872274432 |
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| author | Katherine S. Elkington Megan A. O’Grady Susan Tross Patrick Wilson Jillian Watkins Lenore Lebron Renee Cohall Alwyn Cohall |
| author_facet | Katherine S. Elkington Megan A. O’Grady Susan Tross Patrick Wilson Jillian Watkins Lenore Lebron Renee Cohall Alwyn Cohall |
| author_sort | Katherine S. Elkington |
| collection | DOAJ |
| description | Abstract Background Justice-involved young adults (JIYA) aged 18–24 are at significant risk for HIV and problematic substance use (SU) but are unlikely to know their HIV status or be linked to HIV or SU treatment and care. Intensive efforts to increase screening and improve linkage to HIV and SU services for JIYA are needed that address youth as well as justice and health/behavioral health system-level barriers. Methods MoveUp is a four-session intervention that integrates evidence-based protocols to promote HIV and STI testing, HIV and SU behavioral risk reduction and engagement in treatment for JIYA. MoveUp is delivered onsite at an alternative sentencing program (ASP) by HIV testing outreach workers from a youth-focused medical and HIV treatment program. N = 450 youth are randomized following baseline assessment into two groups: MoveUp or standard of care. Youth are followed for 12 months following the intervention; unprotected sexual behavior, substance use, HIV and STI testing as well as treatment linkage will be assessed at 3, 6, 9 and 12-months. Discussion This study is one of the first to systematically test an integrated screen/testing, prevention intervention and linkage-to-care services program (MoveUp), using evidence-based approaches to address the overlapping HIV/STI and substance use epidemics in JIYA by providing on-site services to identify HIV/STI and SU risk and treatment need within justice-settings as well as linkage to services in the community. This approach, capitalizing on health and justice partnerships, represents an innovation that can capitalize on missed opportunities for engaging JIYA in health care. |
| first_indexed | 2024-12-19T23:24:17Z |
| format | Article |
| id | doaj.art-23a07fbc286441c0865838861bd5334f |
| institution | Directory Open Access Journal |
| issn | 2194-7899 |
| language | English |
| last_indexed | 2024-12-19T23:24:17Z |
| publishDate | 2020-08-01 |
| publisher | BMC |
| record_format | Article |
| series | Health & Justice |
| spelling | doaj.art-23a07fbc286441c0865838861bd5334f2022-12-21T20:01:53ZengBMCHealth & Justice2194-78992020-08-018111410.1186/s40352-020-00121-7A study protocol for a randomized controlled trial of a cross-systems service delivery model to improve identification and care for HIV, STIs and substance use among justice-involved young adultsKatherine S. Elkington0Megan A. O’Grady1Susan Tross2Patrick Wilson3Jillian Watkins4Lenore Lebron5Renee Cohall6Alwyn Cohall7Department of Psychiatry, Columbia University and the New York State Psychiatric InstituteUniversity of Connecticut, School of Medicine Department of Public Health SciencesDepartment of Psychiatry, Columbia University and the New York State Psychiatric InstituteMailman School of Public Health, Columbia UniversityDepartment of Psychiatry, Columbia University and the New York State Psychiatric InstituteCenter for Court InnovationMailman School of Public Health, Columbia UniversityMailman School of Public Health, Columbia UniversityAbstract Background Justice-involved young adults (JIYA) aged 18–24 are at significant risk for HIV and problematic substance use (SU) but are unlikely to know their HIV status or be linked to HIV or SU treatment and care. Intensive efforts to increase screening and improve linkage to HIV and SU services for JIYA are needed that address youth as well as justice and health/behavioral health system-level barriers. Methods MoveUp is a four-session intervention that integrates evidence-based protocols to promote HIV and STI testing, HIV and SU behavioral risk reduction and engagement in treatment for JIYA. MoveUp is delivered onsite at an alternative sentencing program (ASP) by HIV testing outreach workers from a youth-focused medical and HIV treatment program. N = 450 youth are randomized following baseline assessment into two groups: MoveUp or standard of care. Youth are followed for 12 months following the intervention; unprotected sexual behavior, substance use, HIV and STI testing as well as treatment linkage will be assessed at 3, 6, 9 and 12-months. Discussion This study is one of the first to systematically test an integrated screen/testing, prevention intervention and linkage-to-care services program (MoveUp), using evidence-based approaches to address the overlapping HIV/STI and substance use epidemics in JIYA by providing on-site services to identify HIV/STI and SU risk and treatment need within justice-settings as well as linkage to services in the community. This approach, capitalizing on health and justice partnerships, represents an innovation that can capitalize on missed opportunities for engaging JIYA in health care.http://link.springer.com/article/10.1186/s40352-020-00121-7HIV/STI testingSU screeningJustice-involvedYoung adultsService linkage |
| spellingShingle | Katherine S. Elkington Megan A. O’Grady Susan Tross Patrick Wilson Jillian Watkins Lenore Lebron Renee Cohall Alwyn Cohall A study protocol for a randomized controlled trial of a cross-systems service delivery model to improve identification and care for HIV, STIs and substance use among justice-involved young adults Health & Justice HIV/STI testing SU screening Justice-involved Young adults Service linkage |
| title | A study protocol for a randomized controlled trial of a cross-systems service delivery model to improve identification and care for HIV, STIs and substance use among justice-involved young adults |
| title_full | A study protocol for a randomized controlled trial of a cross-systems service delivery model to improve identification and care for HIV, STIs and substance use among justice-involved young adults |
| title_fullStr | A study protocol for a randomized controlled trial of a cross-systems service delivery model to improve identification and care for HIV, STIs and substance use among justice-involved young adults |
| title_full_unstemmed | A study protocol for a randomized controlled trial of a cross-systems service delivery model to improve identification and care for HIV, STIs and substance use among justice-involved young adults |
| title_short | A study protocol for a randomized controlled trial of a cross-systems service delivery model to improve identification and care for HIV, STIs and substance use among justice-involved young adults |
| title_sort | study protocol for a randomized controlled trial of a cross systems service delivery model to improve identification and care for hiv stis and substance use among justice involved young adults |
| topic | HIV/STI testing SU screening Justice-involved Young adults Service linkage |
| url | http://link.springer.com/article/10.1186/s40352-020-00121-7 |
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