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      Transitional care coordination in New York City jails: facilitating linkages to care for people with HIV returning home from Rikers Island.

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          Abstract

          New York City (NYC) jails are the epicenter of an epidemic that overwhelmingly affects Black and Hispanic men and offer a significant opportunity for public health intervention. The NYC Department of Health and Mental Hygiene instituted population based approaches to identify the HIV-infected, initiate discharge planning at jail admission, and facilitate post-release linkages to primary care. Using a caring and supportive 'warm transitions' approach, transitional care services are integral to continuity of care. Since 2010, over three-quarters of known HIV-infected inmates admitted to jails received discharge plans; 74 % of those released were linked to primary care. The EnhanceLink initiative's new Health Liaison, a lynchpin role, facilitated 250 court-led placements in medical alternatives to incarceration. Transitional care coordination programs are critical to facilitate continuity of care for people with chronic health conditions including the HIV-infected returning home from jail and for the public health of the communities to which they return.

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          Author and article information

          Journal
          AIDS Behav
          AIDS and behavior
          1573-3254
          1090-7165
          Oct 2013
          : 17 Suppl 2
          Affiliations
          [1 ] Correctional Health Services, New York City Department of Health and Mental Hygiene, New York, NY, USA, ajordan@health.nyc.gov.
          Article
          10.1007/s10461-012-0352-5
          23128979
          7666f2db-ffe4-49c8-9cdd-19c6390e7d42
          History

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