Florida Department of Health:
Corrections Programs
Prison Pre-Release Planning
and Jail Linkage
Division of Disease Control
and Health Protection
To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts.
Introduction
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HIV Care Continuum
Prisons vs Jails
Counseling and Testing
Prevention and Linkage
Collaboration and Challenges
Division of Disease Control
and Health Protection
HIV Care Continuum
Cascade
cascade source: www.aids.gov
Division of Disease Control
and Health Protection
Socioeconomic Factors
and HIV
• Poverty
• Discrimination, stigma
• HIV Prevalence
• Undiagnosed/untreated STDs
• Language barriers
• Incarceration
Division of Disease Control
and Health Protection
Differences:
Prisons vs Jails
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Prisons
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Funded/operated by state
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Length of stay between 3 - 5 years
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Level of care similar to community
standards
Division of Disease Control
and Health Protection
HIV-infected Inmates
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HIV/AIDS rates in corrections settings
are 3 - 5 times higher than general
population
Over 95% of inmates will return to their
communities
Appx 100,000 inmates in FL prison
system ... about 3,000 have HIV/AIDS
Appx 100 HIV-infected inmates leave
prison each month
Division of Disease Control
and Health Protection
Pre-Release Planning
Program (PRPP)
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DOC mandated to test for HIV within
60 days of inmate's release
DOH contracts with DOC to provide
PRPP services to HIV-infected
inmates
Contract totals $450,000
PRPP includes all DOC institutions
and some transitional programs
Funded by Ryan White Part B
Division of Disease Control
and Health Protection
Pre-Release Planning
Program (PRPP)
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Five PRPP planners employed by DOC
- divided among 5 regions
Planner coordinates with CBO or
medical providers to link inmate to care
Inmates given copies of med record if
requested and 30-day supply of meds
Division of Disease Control
and Health Protection
PRPP Inmates Served
CY 2012-13
(n=1,618 thru Oct 2013)
Division of Disease Control
and Health Protection
PRP Map
Division of Disease Control
and Health Protection
Community Linkage
Coordinators (CLC)
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More intensive services in Broward, Miami-Dade and
Orange counties
PRPP and CLC coordinate inmate appointments upon
release from prison
Medical appointment within one week of release
Linkages to medical, SAMH, ADAP, case mgmt,
housing, transportation, etc
Up to six-month follow up with inmate after release
Division of Disease Control
and Health Protection
CLC Inmates Served
CY 2012-13
(n=315 thru Oct 2013)
Division of Disease Control
and Health Protection
Peer Education Training
Program (PET)
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DOC program located at Central
Florida Reception Center (CFRC)
Provide peer education train-thetrainer sessions
Education and prevention
information
Trainer supervises inmate peer
educators as they conduct
sessions
Division of Disease Control
and Health Protection
Peer Education Training
Program (PET)
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2012:
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2 train-the trainer classes held
8 inmate peer educators trained
57 orientation sessions held
4,176 inmates attended sessions
2,977 (71.3%) requested HIV test
after sessions
Division of Disease Control
and Health Protection
Differences:
Prisons vs Jails
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Jails
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Funded/operated by local govt
Length of stay between 23 - 46
days, not more than 1 year
Appx 50% released within 48
hours
Division of Disease Control
and Health Protection
Jail Linkage Program
(JLP)
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Counties submitted proposals to provide services
JLPs operate through CHD with no contracts
Instead use MOAs
JLP located in 16 jails
Funding appx $1.2 million
Division of Disease Control
and Health Protection
JLP Inmates Tested
CY 2012-13
(n=47,762 thru Sept 2013)
0.5% Positive
0.8% Positive
0.6% Overall Positive Rate
Division of Disease Control
and Health Protection
Linkages
HowJLP
to Use
Navigation
CY 2012-13
(n=3,959 thru Sept 2013)
Division of Disease Control
and Health Protection
JLP Annual Comparison
Testing, Linkages, Positives
2008-2013 (thru Sept 2013)
Division of Disease Control
and Health Protection
Jail Linkage Program (JLP)
Bureau of Communicable Diseases
Florida Department of Health
JLP in 16 Counties:
o 15 Counties funded by DOH
o 1 County unfunded (Monroe)
Division of Disease Control
and Health Protection
Corrections Infections
Workgroup
HIV/AIDS
Epidemiology
Hepatitis
Education
Substance
Abuse/Mental
Health
Correctional
Medical
Authority
STD and TB
Corrections
Juvenile
Justice
Division of Disease Control
and Health Protection
Challenges: The Future
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Funding
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Sequestration Round 1 - 2013
Sequestration Round 2 - 2014
Program evaluations/reviews
"High-impact" prevention
Division of Disease Control
and Health Protection
How to Use Navigation
www.floridahealth.gov
Division of Disease Control
and Health Protection
HIV
Continuum
HowCare
to Use
Navigation
Cascade + Literacy
Overall: HIV+ more
common with < HS
education
Almost half FL HIV+
inmates < HS
education
cascade source: www.aids.gov
Division of Disease Control
and Health Protection
HIV
Continuum
HowCare
to Use
Navigation
Cascade + Unemployed
Overall: 45% are
unemployed
88% FL HIV+ inmates
with min-mod skills
cascade source: www.aids.gov
Division of Disease Control
and Health Protection
HIV
Continuum
HowCare
to Use
Navigation
Cascade + Depression
Overall: 33% to 60%
affected by
depression
cascade source: www.aids.gov
Division of Disease Control
and Health Protection
How Continuum
to Use Navigation
HIV Care
Cascade +
Alcohol and Other Drugs
Overall: 53%
alcohol use in
past month
Overall: 50%
drug use in
past year
33% FL HIV+
inmates polydrug users
Overall: 15%
considered
heavy drinkers
15% FL HIV+
inmates IDU
cascade source: www.aids.gov
Division of Disease Control
and Health Protection
HIV
Care
+ Combination
How
to Use
Navigation
Prevention
Combination Prevention:
Services Integration
cascade source: www.aids.gov
Division of Disease Control
and Health Protection
VANCE BURNS
CORRECTIONS SPECIALIST
HIV/AIDS AND HEPATITIS SECTION
BUREAU OF COMMUNICABLE DISEASES
(850) 245-4424, EXT 2565
vance.burns@flhealth.gov
Division of Disease Control
and Health Protection
To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts.