{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T19:49:11Z","timestamp":1769629751815,"version":"3.49.0"},"reference-count":20,"publisher":"Guilford Publications","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AIDS Education and Prevention"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:p> The twin epidemics of HIV and incarceration impact Puerto Rico, which has limited resources to address the social and structural determinants of health in incarcerated populations. A Special Programs of National Significance grant supported a Puerto Rican community-based organization to implement the evidence-informed Transitional Care Coordination intervention among incarcerated persons living with HIV, targeting changes at the individual, organization, and systems levels. After implementation (November 2015\u2013July 2018; n = 69), 93.1% of eligible clients were linked to community-based HIV care, 86.3% remained in care for 6 months, and 78.6% remained for 12 months. A greater proportion reported consistent HIV care, ART adherence, food security, and transportation to access care. Integrating HIV case management with housing and employment services, and developing buy-in and collaboration from partners across systems of care, including after a natural disaster, led to positive client outcomes. This intervention shows promise for adaptation to other HIV care and service delivery systems. <\/jats:p>","DOI":"10.1521\/aeap.2020.32.3.181","type":"journal-article","created":{"date-parts":[[2020,8,4]],"date-time":"2020-08-04T16:39:05Z","timestamp":1596559145000},"page":"181-195","source":"Crossref","is-referenced-by-count":4,"title":["Client Outcomes From a Multilevel Intervention to Support Persons Living With HIV and Returning to the Community After Incarceration in Puerto Rico"],"prefix":"10.1521","volume":"32","author":[{"given":"Janet J.","family":"Wiersema","sequence":"first","affiliation":[{"name":"NYC Health + Hospitals Correctional Health Services, New York, New York."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacqueline","family":"Cruzado-Qui\u00f1ones","sequence":"additional","affiliation":[{"name":"ACOJA Consulting LLC, Staten Island, New York."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carmen G.","family":"Cosme Pitre","sequence":"additional","affiliation":[{"name":"One Stop Career Center of Puerto Rico, Inc., Rio Piedras, Puerto Rico."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alison O.","family":"Jordan","sequence":"additional","affiliation":[{"name":"NYC Health + Hospitals Correctional Health Services, New York, New York."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"377","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-012-0372-1"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-012-0354-3"},{"key":"ref5","volume-title":"Understanding the HIV care continuum","author":"Centers for Disease Control and Prevention, National Center for HIV\/AIDS, Viral Hepatitis, STD, and TB Prevention","year":"2018"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1080\/15228932.2012.713835"},{"key":"ref7","volume-title":"HIV\/AIDS Bureau performance measures","author":"Health Resources and Services Administration, Ryan White, &amp; Global HIV\/AIDS Programs","year":"2017"},{"key":"ref8","volume-title":"HRSA's Ryan White HIV\/AIDS Program \u2014 Part F: Special Projects of National Significance (SPNS) Program","author":"Health Resources and Services Administration, Ryan White, &amp; Global HIV\/AIDS Programs","year":"2018"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2015.302635"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-012-0352-5"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2010.0372"},{"key":"ref14","volume-title":"HIV in prisons, 2015 \u2014 Statistical tables","author":"Maruschak L.","year":"2017"},{"key":"ref15","volume-title":"Medical problems of state and federal prisoners and jail inmates, 2011\u201312","author":"Maruschak L. 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