Last updated on January 2020

Prevention Support for People Leaving Jail

Brief description of study

This study will provide HIV prevention and related support services to men who have sex with men and transgender women who have substance use disorders upon departure from jail or a residential recovery facility for treatment of substance use disorders. The researchers will compare the utilization of HIV prevention and other support services between individuals who receive routine case management provided following enrollment to those who have access to GeoPassport, a global position service (GPS)-based mobile app, incentives, and peer mentor support.

Detailed Study Description

The investigators will enroll 300 people in jail or immediately post-release from custody for those who transfer to a residential recovery facility. During the trial, half of participants will be randomized into a control group that receives customized prevention referrals and substance abuse-focused case management. They will be compared to the other half of participants randomized to the intervention group that, in addition to receiving customized referrals, will also receive the GeoPassport App, incentives, and the support of a trained Peer Mentor for six months. The GeoPassport App will provide participants with tools for tracking goals and progress toward meeting them, assistance in locating services, appointment and medication reminders, opportunities to provide feedback on service providers, and built-in tracking and distribution of rewards (incentives) for service utilization. GeoPassport will assist Peer Mentors in monitoring participants' service utilization. The Peer Mentors will provide encouragement, role modeling, accompaniment to appointments, and assistance with goal setting, problem-solving, and reducing logistical and psychosocial barriers to service engagement. Participants in both groups will be followed to assess whether those offered the GeoPassport intervention are more likely to meet the specific prevention targets described in the Specific Aims. The intervention lasts 6 months following departure from jail or residential recovery facility. Participants are interviewed at 3, 6, and 9 months from the same point as the intervention.

Clinical Study Identifier: NCT04036396

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