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59735 The Bridge Program: Building a Mental clinically diagnosable MI conditions deemed moderate to tiol
Health Care Network for HIV* Inmates with severe.Only one BP client hasbeen reincarceratedand two lost
Mental lllness Recently Released from the to care, indicating an 85Toretention rate to HIV and MH care.
Recommendations:DOC releaseplanning should include 6l
Virginia Department of Corrections
identifying HIV* inmates with MI, addressing this group's Ra
MichaetRollisont
(presenting),
StevenBo 2
ite,f, RachelRees elevated needs upon releaseregarding intensive medical case Di
'Virginio management, MH screening, and treatment to facilitate the
CommonweolthUniversityMedical Center,Richmond,VA, Ar
United Stotes successful care transition into communitv HIV care sites.
2virginio Lo
Deportmentof Heatth,Richmond,VA,UnitedStotes
Ga
51097Structural EcosystemTherapy for HIV 'ch
Introduction: A recentAmerican Public Health Association MedicationAdherence and SubstanceAbuse
study (Nov 2007) indicates>50% of HIV* inmatesin the US Uni
RelapsePrevention 2Pu
have mental illness (MD, with half undiagnosed.
DanielFeosterr(presenting),VictorioMitroni2,Myron 3ch
Pre-incarceration, inmates with MI have substantial unmet
needsand increasedneedsupon release.They demonstratepoor Burns3,BrianMcCabe2,AhnoleeBrinckst,Allon Uni
ach
capacity to cope with challengesrelated to accessingHIV and Rodriguezt
, DeshrotnAsthonot , MichoelRobbins'
mental health (MH) care. A pilot program, was collaboratively t_tJniversiry Uni
developedby the Virginia Department of Health and the VCU of Miomi, Miomi, FI- United Stotes su
'University
Medical Center'sInfectiousDiseaseClinic (IDC), identifying of Miomi, Coral Gobles,Ff UnitedStotes
'Nevodo B
recently releasedHIV+ personsreturning to IDC for HIV care, StoteCollege,Henderso4NV, United Stores
havr
assisting with care transition, providing MH evaluation, Background: Substanceabuseis associatedwith adverse tize<
assessment,and treatment as indicated. Componentsof Bridge consequencesfor women with HIV/AIDS. Structural Ecosys- tatio
Program (BP) servicesinclude neurological and psychological tems Therapy(SET) seeksto encouragemedicationadherence perc
evaluative testing relevant to incarceration, HIV, depression, and prevent drug relapseamong HIV+ women by shengthen- rese
cognitive function, posthaumaticstressdisorder,and bio-social ing family' support.helping woman distancethemselvesfrom conc
history. Other supportive MH services provided: psychiahic drug-usingfamily' members.and developinga family plan to ple I
follow-up, MH counseling,and intensivecasemanagement. respond to dru-srelapse. adhe
Projections: Approximately 50 HIV* Department of Methods: .{,n \lH-funded randomized trial tested the M
Correction (DOC) releasedannually that are then followed in efficacy of SET relatir.e to a psycho-educationalhealth group inter
theIDC. (HG) inten'ention in l16 HIV+ women in drug-abuse racel
Description: Objectivesare to (l) assistin HIV caretransi- recoven'-The inren.entionslastedfour months.Researchassess- for s
tion post DOC releaseand (2) offer and provide extensiveMH ments$'ere conducredfor I I months.Women were assessedfor meas
evaluation, assessment,and treatment. drug use and medicauonadherenceat two-month intervals.CD4 elect
Objective Outcomes: Maintain or improve HIV health T-cell count and HI\- r iral load *'ere assessedat four-month linea
parameters achieved during DOC incarceration, identiff and intervals.Famill mernbersrrere assessedon a range of psycho- crimi
treat MH conditions appropriately toward increasing compli- social factors to eramine rhe family' mechanismsof SET. self-r
ance to and retention in medical care, and lastly reduce recidi- Results: Lerels of drug use did not differ by condition. vidua
vism back to DOC. Women in SET \r'er€ rrore lrkelv to separatefrom drug using interr
Lessons Learned: By the end of the second quarter household rrmtss and ur-rea:e substanceabuse services in were
(October 2009),35% met Social Security criteria for disability responseto relap:e than *crrrn rn HG. Thesechangesexplained Rr
related to MI (7120), while 80% (16120) were found with the decline in drug use otr=rral *rrhin SET between 6 and 12
i*: