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-July 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.

中文翻译：

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客户的结果来自多层次干预，以支持艾滋病毒携带者并在波多黎各被监禁后返回社区

艾滋病毒和监禁的双重流行影响波多黎各，波多黎各的资源有限，无法解决被监禁人口健康的社会和结构决定因素。一项具有国家重要意义的特殊计划赠款支持了一个波多黎各社区组织，目的是在被感染艾滋病毒的被监禁者中实施有据可依的过渡护理协调干预措施，以针对个人，组织和系统层面的变化为目标。实施后（2015年11月至2018年7月； n = 69），符合条件的客户中有93.1％与基于社区的HIV护理有关，有86.3％的患者接受了6个月的护理，有78.6％的患者接受了12个月的护理。更大比例的人报告了持续的艾滋病毒护理，抗逆转录病毒疗法依从性，食品安全以及获得护理的交通。将艾滋病毒案件管理与住房和就业服务相结合，以及在自然灾害之后，跨整个护理系统与合作伙伴建立支持和合作关系，从而为客户带来积极的成果。这种干预表明有望适应其他艾滋病毒护理和服务提供系统。