Corrections Toolkit: Transitional Care Coordination Model Supplemental Learning Materials

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North Carolina (NC) has a long-standing commitment to serving persons with HIV incarcerated in the state’s prison system. Through years of collaborative efforts with the NC Department of Correction and county-level jail facilities, UNC faculty have carefully studied the HIV care continuum for former inmates re-entering their communities.

With support from HRSA’s Special Projects of National Significance (SPNS) program and the Centers for Disease Control and Prevention, UNC faculty have led innovative projects to help smooth the process of linkage to community-based care for persons with HIV leaving the state’s jails and prisons.

The key message from these studies is that care coordination – involving community-based professionals before release from jail or prison – is critically important. This toolkit builds upon a highly successful SPNS project conducted in Wake County, NC, Camden, NJ, and Las Vegas, NV to apply lessons learned from prison HIV care coordination to local jails. The team at the North Carolina AETC carefully evaluated the resources from the SPNS project, engaged local experts to provide feedback and context, and created a “wrap-around” set of resources that complements and enhances the work that our colleagues put in creating the Transitional Care Coordination (TCC) model.

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