Health and Justice: A Continuum of Care for HIV and SU for Justice-Involved Young Adults (PHASE 2)
2 other identifiers
interventional
307
1 country
1
Brief Summary
This research study proposes to embed HIV testing outreach workers from a young adult focused medical and HIV treatment program into an alternative sentencing program to deliver a new service delivery model (Link2CARE) that integrates evidence-based protocols for justice-involved young adults to: a) promote HIV and STI testing, and HIV and SU risk screening, b) provide onsite intervention, and c) cross-system linkage to HIV, STI, and SU care. Phase 1 has already been completed. In phase 1, the intervention components were adapted for use among justice involved young adults and the resulting protocols were piloted with justice involved young adults, finalizing the resulting 4-session Link2CARE intervention. In phase 2, we will test Link2CARE among N=450 justice-involved young adults enrolled at the alternative sentencing program and conduct process evaluations with N=15 alternative sentencing program staff.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Dec 2017
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
November 30, 2017
CompletedStudy Start
First participant enrolled
December 9, 2017
CompletedFirst Posted
Study publicly available on registry
December 11, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 30, 2021
CompletedResults Posted
Study results publicly available
November 22, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2022
CompletedJanuary 18, 2023
December 1, 2022
3.8 years
November 30, 2017
September 27, 2022
December 21, 2022
Conditions
Outcome Measures
Primary Outcomes (1)
Total Number of Unprotected Anal and Vaginal Sex Occasions in Past 3 Months
measured by participant report in the "Sexual Risk" section of the questionnaires
at 12-month follow-up
Secondary Outcomes (9)
Frequency of Young Adults Substance Use in Past 30 Days
at 3-, 6-, and 12-month follow-ups
Number of Young Adults Referred to Substance Use Treatment
at 3-, 6-, and 12-month follow-ups
Number of Young Adults Attending Intake Plus One Treatment Session
at 3-, 6-, and 12-month follow-ups
Acceptance of STI Testing (Yes/no)
at day 1 of enrollment
Any STI Testing
between 6- and 12-month follow-ups
- +4 more secondary outcomes
Other Outcomes (4)
Number of HIV+ Young Adults Referred to HIV Treatment
at 3-, 6-, and 12-month follow-ups
Number of HIV+ Young Adults Attending at Least One Treatment Appointment
at 3-, 6-, and 12-month follow-ups
Number of Young Adults Behaviorally PrEP Eligible Referred to PrEP/Medical Care
at 3-, 6-, and 12-month follow-ups
- +1 more other outcomes
Study Arms (2)
Link2CARE
EXPERIMENTALThis arm is comprised of participants randomized to the 4-session Link2CARE intervention.
Standard of Care
NO INTERVENTIONThis arm is comprised of participants who will not receive the 4-session Link2CARE intervention.
Interventions
The Link2CARE intervention consists of 4 sessions. Session 1 consists of a one-on-one meeting with a Health Coach, during which participants will be offered an oral rapid HIV test and STI test. Sessions 2, 3, and 4 are group-based. During these sessions, participants will engage in discussions and activities regarding sexual and substance use risk behaviors.
Eligibility Criteria
You may qualify if:
- Between 18-24 years of age
- Currently enrolled at the alternative to sentencing program
- Conversant in English
- Engaged in any unprotected or vaginal sexual activity (in the past 12 months)
You may not qualify if:
- Cognitively unable to complete the interview
- HIV positive
- Alternative to Sentencing Staff
- Currently employed at the alternative to sentencing program
- Between ages of 18-80
- None
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- New York State Psychiatric Institutelead
- Center for Court Innovationcollaborator
- The National Center on Addiction and Substance Abuse at Columbia Universitycollaborator
- National Institute on Drug Abuse (NIDA)collaborator
- Columbia Universitycollaborator
Study Sites (1)
Kings County Criminal Court
Brooklyn, New York, 11201, United States
Related Publications (1)
Ertl MM, Jones A, Hickson R, Achebe I, Gyamfi Ertl SL, Sichel CE, Campos S, O'Grady MA, Tross S, Wilson P, Cohall RM, Cohall AT, Elkington KS. Technology Access and Perceptions of Telehealth Services Among Young Adults Involved in the Court System. J Adolesc Health. 2024 Mar;74(3):582-590. doi: 10.1016/j.jadohealth.2023.09.019. Epub 2023 Dec 8.
PMID: 38069927DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Katherine Elkington
- Organization
- New York State Psychiatric Institute
Study Officials
- PRINCIPAL INVESTIGATOR
Katherine Elkington, PhD
New York State Psychiatric Institute
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Research Scientist
Study Record Dates
First Submitted
November 30, 2017
First Posted
December 11, 2017
Study Start
December 9, 2017
Primary Completion
September 30, 2021
Study Completion
December 1, 2022
Last Updated
January 18, 2023
Results First Posted
November 22, 2022
Record last verified: 2022-12