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Improving HIV Care Continuum Outcomes Among Formerly Incarcerated Individuals Through Critical Time Legal Interventions

ConditionHIV
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-100
SponsorUniversity of Central Florida

About this trial

The purpose of this research is to better understand the impact of receiving legal aid on HIV care continuum outcomes among formerly incarcerated individuals. In addition, the investigators would like to assess the effectiveness of a comprehensive training for providers in increasing knowledge about medical legal partnerships and improving clinic level outcomes, including communication among providers. The training includes several topics including health disparities impacting formerly incarcerated individuals, health-harming legal needs and risks, screening for health-harming legal needs and risks, medical-legal partnership structure and operations, prerequisites for MLPs, embedding legal expertise within regularized case management, co-location of legal services, and data collection and analysis.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

18 years or older

Living with HIV (as confirmed by medical record)

HIV viral load of more than 200 copies/mL (as confirmed by medical record)

Report history of incarceration

Disqualifiers

Individuals who self-report having been sentenced to serve under state or federal custody, with a sentence to begin within 6 months from proposed enrollment in the study

Trial design

Design model

Parallel

Treatments tested in this trial

  • Organizational Partnerships

    Other intervention

    Component 1 is a comprehensive training for all MLP care providers delivered to clinical, social and behavioral, and legal staff to establish a collaborative environment. Component 2 consists of the screening tool and screening protocol that is designed to identify health-harming legal needs and risks of formerly incarcerated individuals living with HIV. Component 3 includes the provision of legal support.

  • HIV Continuum Care

    Other intervention

    Participants will be included in the pilot trial. The investigative team will work with the staff at Hope and Help Inc. to identify and recruit those out of care through reviewing electronic medical records.

Treatment groups

100 Participants
are divided into 2 treatment groups
Group A: CTI-MLP approachExperimental treatment 1 intervention
Group B: CTI-MLP assessmentExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

HIV viral load using polymerase chain reaction (PCR)

HIV viral load through HIV Nucleic Acid Amplification Test (NAAT) HIV by PCR HIV RNA Test

Time frame
6 months
2

HIV linkage and retention and antiretroviral therapy adherence using surveys

Time frame
6 months

Secondary outcomes

1

Quality of Life checklist

A 36-item health questionnaire. It has 8 scales which provide a profile of functionally participant and welfare. The scales contain two general measures, the PCS (Physical Health Component Summary), and MCS (Mental Health Component Summary).

Time frame
1 year
2

Mental health indicators survey

Time frame
1 year

Other outcomes

Sponsors and contacts

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University of Central Florida

Lead sponsor

University of Miami

Collaborator

National Institute of Mental Health (NIMH)

Collaborator

Hope and Help Center of Central Florida Incorporated

Collaborator

Source ClinicalTrials.gov
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