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An HIV, STD, and Hepatitis Prevention Program for Young Men Leaving Prison: Project START

Center for AIDS Prevention Studies, University of California, San Francisco, California, olga.grinstead{at}ucsf.edu

Gloria Eldridge, PhD

University of Alaska Anchorage, Alaska

Robin MacGowan, MPH

Division of HIV/AIDS Prevention, National Center for HIV, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia

Kathleen M. Morrow, PhD

Miriam Hospital/Alpert Medical School of Brown University, Providence, Rhode Island

David W. Seal, PhD

Center for AIDS Intervention Research, Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin

James M. Sosman, MD

University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin

Barry Zack, MPH

Centerforce, San Rafael, California

The Project START Study Group

The rates of HIV, STD, and hepatitis infection are high among persons entering prisons, and many of these persons engage in high-risk behaviors after release. Therefore, innovative programs that reduce risk behaviors after release are urgently needed. Project START developed and evaluated two interventions designed for young men leaving prison. This article describes both interventions: the single-session intervention and the enhanced intervention. The single-session intervention focused on HIV/STD/hepatitis prevention only. The enhanced intervention consisted of two prerelease and four postrelease sessions that focused on HIV/STD/hepatitis prevention and more broadly on health and reintegration into the community. Specific procedures used to implement the interventions in correctional settings are described. Process data describing intervention attendance and fidelity to the intervention protocols are presented. Implications for future intervention studies are discussed.

Key Words: HIV • prisons • risk reduction • intervention • correctional health care

Journal of Correctional Health Care, Vol. 14, No. 3, 183-196 (2008)
DOI: 10.1177/1078345808318217


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