AHRQ Innovations Exchange | Hospital Successfully Links Recently Released, HIV-Positive Prisoners to Medical, Mental Health, and Social Services, Reducing Recidivism

Innovation Profile:

Hospital Successfully Links Recently Released, HIV-Positive Prisoners to Medical, Mental Health, and Social Services, Reducing Recidivism


Snapshot
Summary
Through Project Bridge, Miriam Hospital links HIV-positive prisoners to community-based medical care and social services to enable successful reentry into the community. Beginning a few months before release and continuing for 18 months afterward, participants receive intensive case management from a professional social worker and outreach worker, including an individualized care plan; assistance in accessing needed medical and mental health care, substance abuse treatment, and social services; and ongoing monitoring and followup. The program has significantly enhanced access to medical, mental health, and social services, and reduced recidivism.

Evidence Rating
Moderate: The evidence consists of post-implementation data on the percentage of participants receiving medical, mental health, substance abuse, and social services, along with a comparison of reincarceration rates between participants and nonparticipants.

Developing Organizations
The Miriam Hospital
Providence, RI

Date First Implemented
1997

Patient Population
Insurance Status > Medicaid; Vulnerable Populations > Medically uninsured; Prisoners; Substance abusers; Insurance Status > Uninsured; Vulnerable Populations > Urban populationsend pp


full-text:
AHRQ Innovations Exchange | Hospital Successfully Links Recently Released, HIV-Positive Prisoners to Medical, Mental Health, and Social Services, Reducing Recidivism