Planning for SUCCESS

Study Overview
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Brief Summary
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Planning for SUCCESS (Sustained, Unbroken Connections to Care, Entry Services, and Suppression) is a project to improve the connection to community care for HIV infected persons leaving Fulton County Jail or Atlanta City Detention Center in Atlanta. Hypothesis: Participants who receive the intervention will be more likely to link to medical care after jail release than similar participants who do not receive the intervention. Rationale and objective: This project aims to make sure HIV positive persons leaving jail maintain medical care. Case managers will use strength based case management and phone texting technology to improve release's connections to care in the community. This study will have extensive tracking of outcomes. The key outcome will be whether HIV infected participants receiving an intervention experience suppression of their viral load after release from jail . The investigators wish to demonstrate the ability to recruit participants into the SUCCESS intervention and repeatedly check community medical records to see how well their infection is being controlled after they linked to care. Investigators also want to conduct a survey at baseline, 3 months and 12 months. Investigators will compare the viral load of participants receiving the intervention to participants passing through the jail who do not receive the outcome.

Official Title
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Planning for Sustained, Unbroken Connections to Care, Entry Services, and Suppression (SUCCESS)-- A Project to Improve the Connection to Community Care for HIV Infected Persons Leaving Jail in Atlanta

Conditions
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HIV

Intervention / Treatment
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* Behavioral: Strength Based Case Management


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: HIV infected (HIV+); age of or over 18 years; Mentally able to give consent; understand spoken English; Detained or sentenced in either the Fulton County Jail or the Atlanta City Detention Center; and Likely to leave within 6 weeks Exclusion Criteria: Unable to give consent because of mental illness or inebriation; A recent participant in a randomized trial conducted by the investigators of an intervention to increase retention in HIV care (e.g., ARTAS)

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 99 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Strength Based Case Management<br>Strength Based Case Management | Behavioral: Strength Based Case Management<br> <br> |
| No Intervention: Contemporary, HIV+ Jail Detainees<br>No intervention | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| HIV viral load | HIV viral load can be drawn; obtaining it shows that the person is in care. Ideally, it should be suppressed 12 months out of jail. One measurement of viral load within three months after release will demonstrate linkage; two clinical visits occurring within 12 months post release, with at least 2 clinical visits spaced a minimum of 3 months apart, will indicate retention. | 12 months after release from jail | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Show feasibility of conducting protocol | Demonstrate that 14 persons can be recruited per month and that delivery of the intervention is feasible. | Four months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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HIV, jail, detainee, Linkage and Retention, Treatment as Prevention, Strength Based Case Management, releases