About this trial
The goal of this clinical trial is to compare two interventions - Health Navigation and Health Navigation Plus among individuals who have been impacted by the criminal legal system.
The main question it aims to answer is:
• Compared with the Health Navigation group, are participants in the Health Navigation Plus group more likely to a) access HIV care, treatment, and prevention services and employment services and b) access employment services and be employed in community?
Participants on the study will be:
* Randomly assigned (like a flip of a coin) to participate in either Health Navigation or Health Navigation Plus. Participants will have an equal chance of being placed in either group. * Complete three surveys over the course of 13 months * Participants in the Health Navigation group will have two in person meetings and seven check-ins with the health navigator over 6 months * Participants in the Health Navigation Plus group will have two in person meetings and seven check-ins with the health navigator over 6 months, two in person and 10 check ins with the employment navigator over 12 months and up to $200 to support employment and career development needs and receive up to $140 to support health goals. Samples of blood, urine and swabs may be collected to meet the health goals.
Eligibility criteria
Qualifiers
be at least 18 years of age;
currently reside or intend to reside in one of the study communities (i.e., Cook County, Baton Rouge, and the New Orleans area);
be currently incarcerated in jail or prison and report an expected release within 90 days, or under community supervision or drug court, or report a recent incarceration within the last three years, or in the last 12 months has had an interaction with law enforcement that did not lead to an arrest or jail or prison time, AND has not already been linked and/or retained in HIV or PrEP care in the community;
report needing employment-related services; and
Disqualifiers
unwilling/unable to provide informed consent,
does not live or intend to live in one of the study locations,
unable to confirm HIV status,
unable to conduct the study in English, and
Trial design
Treatments tested in this trial
- Health Navigation
- Health Navigation, Employment Navigation plus Contingency Management Intervention
Treatment groups
Sponsors and collaborators
University of Chicago
Lead sponsor
Northwestern University
Collaborator
NORC at the University of Chicago
Collaborator
Frontline Legal Services
Collaborator
Capitol Area Reentry Program Inc.
Collaborator
National Institute of Mental Health (NIMH)
Collaborator
Cook County Health
Collaborator