No Time to Lose: Getting More from HIV Prevention

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No Time to Lose: Getting More from HIV Prevention (2001)
Institute of Medicine (IOM)

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. "Overcoming Social Barriers." No Time to Lose: Getting More from HIV Prevention. Washington, DC: The National Academies Press, 2001.

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No Time to Lose: Getting More from HIV Prevention

TABLE 7.1 HIV/AIDS Education, Harm Reduction, and Discharge Planning Programs in U.S. Adult Correctional Systems, 1997

	State/Federal Prison Systems (N = 51)		City/County Jail Systems (N = 41)
	N	%	N	%
Type of HIV Education Programs
Instructor-Led Education		94		73
“Comprehensive” HIV/AIDS education programs*		10		5
Topics Covered in HIV Education Programs
Basic HIV information	51	100	35	85
Meaning of HIV test results	51	100	38	93
Negotiation skills for safer sex	21	41	19	46
Safer injection practices	23	45	20	49
Tattooing risks	42	82	22	54
Alcohol/drug risks	41	80	30	73
Self-perception of risk	30	59	27	66
Identifying barriers to behavioral change	28	55	23	56
Harm Reduction Strategies
Make condoms available	2	4	4	10
Make bleach available (for any purpose)	10	20	8	20
Make needles/syringe equipment available	0	0	0	0

	Percentage of State/Federal Prison Systems Providing (N = 51)		Percentage of City/County Jail Systems Providing (N = 41)
Discharge planning services for HIV+ inmates		92		76
	Referral Made	Appointment Made	Referral Made	Appointment Made
Medicaid/related benefits	78	35	56	29
CD4 monitoring	71	24	54	17
Viral load monitoring	61	22	46	20
HIV medications	82	31	66	27
Substance abuse treatment	75	22	63	24
HIV counseling	73	27	61	32
Psychosocial support	73	24	54	27
STD prevention and treatment	65	22	46	17
*Provides all of the following in all of its facilities: instructor-led education, peer-led programs, pre-/posttest counseling, and multisession prevention counseling. SOURCE: NIJ et al., 1999.