The goal of this clinical trial is to compare two interventions - Health Navigation and Health Navigation Plus among individuals who have been impacted by the criminal legal system.
The main question it aims to answer is:
• Compared with the Health Navigation group, are participants in the Health Navigation Plus group more likely to a) access HIV care, treatment, and prevention services and employment services and b) access employment services and be employed in community?
Participants on the study will be:
* Randomly assigned (like a flip of a coin) to participate in either Health Navigation or Health Navigation Plus. Participants will have an equal chance of being placed in either group. * Complete three surveys over the course of 13 months * Participants in the Health Navigation group will have two in person meetings and seven check-ins with the health navigator over 6 months * Participants in the Health Navigation Plus group will have two in person meetings and seven check-ins with the health navigator over 6 months, two in person and 10 check ins with the employment navigator over 12 months and up to $200 to support employment and career development needs and receive up to $140 to support health goals. Samples of blood, urine and swabs may be collected to meet the health goals.
be at least 18 years of age;
currently reside or intend to reside in one of the study communities (i.e., Cook County, Baton Rouge, and the New Orleans area);
be currently incarcerated in jail or prison and report an expected release within 90 days, or under community supervision or drug court, or report a recent incarceration within the last three years, or in the last 12 months has had an interaction with law enforcement that did not lead to an arrest or jail or prison time, AND has not already been linked and/or retained in HIV or PrEP care in the community;
report needing employment-related services; and
unwilling/unable to provide informed consent,
does not live or intend to live in one of the study locations,
unable to confirm HIV status,
unable to conduct the study in English, and
Parallel
Health Navigation
BehavioralParticipants meet with Health Navigator twice in-person and receive 7 check-ins from the Health Navigator over a 6 month period. The health navigator provides participants with referrals and support to HIV, mental health, substance use, and other supportive services
Health Navigation, Employment Navigation plus Contingency Management Intervention
BehavioralParticipants meet with health navigator twice in-person and receive 7 check-ins from the health navigator over a 6 month period. The health navigator provides participants with referrals and support to HIV, mental health, substance use, and other supportive services. Participants meeting with the employment navigator twice in-person and receive 10 check-ins from the employment navigator over 12 months. The employment navigator provides participants with referrals to employment and career development opportunities in the community and up to $200 for employment and career development support (e.g., transportation to interview, GED preparation course). Participants also receive up to $140 for HIV/STI care, treatment, and prevention milestones as part of the contingency management interview over a period of 12 months.
Linkage to HIV care
Number of participants who visit a provider for HIV care and receive a prescription based on medical reports
Linkage to PrEP care
Number of participants who visit a provider for PrEP care ranging from PrEP information only to the receipt of a prescription based on medical reports
Linkage to employment-related services in community
Number of referred participants who receive employment-related service in the community based on referral reports completed by the interventionists
Retention in HIV care
Number of participants who attend two HIV care visits at least 90 days apart based on medical reports
HIV viral suppression
Number of participants with an HIV viral load \< 200 copies/ml based on medical reports
Retention in PrEP care
Number of participants with at least two PrEP care visits in a 12-month period based on medical reports
Receipt of mental health services
Number of participants with a mental health service visit within 180 days based on referrals reported complete by interventionists.
Receipt of other HIV prevention services
Number of participants who self-report in surveys receiving a HIV/STI Test, nonoccupational HIV post-exposure prophylaxis (nPEP), and/or Doxycycline post-exposure prophylaxis (DoxyPEP)
Changes in employer and temporary staffing agency policies and practices
Number and types of observed policies and practices related to hiring returned citizens over the course of the study based on email correspondence and informal conversations with employers and temporary staffing agencies.
Changes in housing status
Number of participants who self-report stable housing
Changes in substance use behaviors
Number of participants who self-report substance use behaviors
Click on the lead sponsor to view all of their trials.
University of Chicago
Lead sponsor
Northwestern University
Collaborator
NORC at the University of Chicago
Collaborator
Frontline Legal Services
Collaborator
Capitol Area Reentry Program Inc.
Collaborator
National Institute of Mental Health (NIMH)
Collaborator
Cook County Health
Collaborator
