Opening Doors: The HRSA-CDC Corrections Demostration Project for People Living with HIV/AIDS
U.S. Department of Health and Human Services logo and Health Resources and Services Administration logo
U.S. Department of Health and Human Services • Health Resources and Services Administration • HIV/AIDS Bureau • December 2007
INTRODUCTION
THE CORRECTIONS INITIATIVE
AGGREGATE FINDINGS
PARTICIPATING PROJECTS
SUMMARY
SUSTAINABILITY
APPENDIX: OUTCOME STATISTICS
PUBLISHER
 

SUMMARY

The CDP expanded capacity in three ways:

  • By enhancing existing programs in facilities
  • By developing new programs in facilities
  • By developing new community-based networks.

HIV, STI, and hepatitis prevention education, disease screening, and continuity-of-care (discharge and community case management planning) programs were established or enhanced in a number of juvenile detention centers, local jails, and State prisons. California, Chicago, Georgia, Massachusetts, New Jersey, and New York enhanced existing jail-based programs. In California, Florida, Massachusetts, New Jersey, and New York, prison programs were expanded or enhanced to include increased numbers of inmates returning to the community and to cover a broader range of activities. In addition, New York expanded the range of services available to prisoners within its previously existing HIV services programs. The San Francisco jail-based program likewise expanded the range of services available within the jail and in its continuity-of-care program for discharged inmates.

In some settings, the number of institutions where services existed was increased or new programs were developed, thereby increasing capacity. Georgia and Massachusetts developed new juvenile detention–based programs. Florida opted to develop a new jail-based program in one jurisdiction. California expanded services from one men’s prison to include another prison for men and one for women.

Finally, capacity expanded through the development of wider networks of CBOs (including faith-based organizations) that could provide services for offenders returning to the community and linkages to other service providers. For example, the California prison-based program reported networking with nearly 100 CBOs in the San Francisco Bay Area and Central Valley with whom the grantee had previously not connected. Similarly, increases in networks of service providers and resources were reported across all State programs. In some cases, expansion was accomplished via new capacity in the CDP service provider organizations; in others, it involved the development of CBO networks. In summary, capacity expansion occurred for State and local agencies and CBOs involved in the CDP. Some States have institutionalized those developments.