Transcript Pregnancy and HIV - New York/New Jersey AIDS Education and

Correctional Healthcare
in New Jersey
AN OVERVIEW
New Jersey Epidemiology
• New Jersey has the third highest number of
HIV/AIDS cases in correctional facilities in the
Northeast (following NYS and Pennsylvania).
• There are 612 inmates in state or federal prison
reported to be positive for HIV/AIDS.
Bureau of Justice Statistics, Sept. 2007
New Jersey Department
of Corrections
• 14 state-operated correctional facilities including:
-Eight adult male correctional facilities
-Three youth facilities
-One facility for sex offenders
-One women's correctional institution
-One central reception/intake unit
• There is also a Stabilization and Reintegration Program.
• These facilities collectively house approximately 23,000
inmates in minimum, medium and maximum security levels.
New Jersey Department
of Corrections (con’t)
1. Adult Diagnostic and Treatment Center
2. A. C. Wagner Youth Correctional Facility
3. Bayside State Prison
4. Central Reception and Assignment Facility
5. East Jersey State Prison
6. Edna Mahan Correctional Facility for Women
7. Garden State Youth Correctional Facility
8. Mid-State Correctional Facility
9. Mountainview Youth Correctional Facility
10. New Jersey State Prison
11. Northern State Prison
12. Riverfront State Prison
13. Southern State Correctional Facility
14. South Woods State Prison
New Jersey Department
of Corrections (con’t)
• Time of transition: Effective fall 2008,
Correctional Medical Service’s contract
ended with the New Jersey Department of
Corrections (NJ DOCS).
• University Correctional Health Care under
University Behavioral Health Care (part of
UMDNJ) was awarded the contract.
Health Care and Corrections
 The following is a brief review of HIV-related
services offered in the NJ DOCS.
-Prevention Activities
-Clinical Staff Education
-HIV Testing
-Medication Administration
-HIV Care Delivery
-Transitional Planning
Prevention Activities
 General education regarding HIV prevention is
provided to inmates in the NJ DOCS.
 Condom distribution is not permitted as a
prevention measure within the county jails or state
facilities in New Jersey.
 Condoms are considered contraband. In addition,
sex within these facilities is prohibited.
Clinical Staff Education
• Albany Medical College (AMC) is the HIV
Correctional Regional Resource Center under the
New York/New Jersey AIDS Education & Training
Center (NY/NJ AETC).
• AMC collaborates with various AETC sites in New
Jersey to deliver HIV clinical education and clinical
mentoring for correctional providers in New Jersey
(ID CARE, Garden State Infectious Disease
Associates and UMDNJ).
HIV Testing Policies
 The NJ DOCS has voluntary HIV testing.
 Testing is performed by the NJ DOCS medical unit
staff.
 All inmates are offered an HIV test upon entry
(“universal HIV testing”) but this is not mandatory.
 No written informed consent.
HIV Testing Policies (con’t)
 If an inmate declines an HIV test, he/she is
asked to fill out a refusal form.
 The inmate can request to be tested in the
future. At that time, he/she must sign a
consent form.
Medication Policies
 In the NJ DOCS, HIV medications are administered using a
combination of the Keep on Person (KOP) or Directly
Observed Therapy (DOT) systems.
 This is patient specific (e.g. degree of adherence).
 This also varies by facility.
 HIV medications that are liquid formulations or are injectable
typically require the inmate to come to the medical unit.
HIV Care Delivery
 Like NYS, many correctional physicians in NJ have primary
care backgrounds or specialty backgrounds with limited
formal training in HIV medicine.
 NJ DOCS clinicians have the opportunity to consult with HIV
specialists through the following sources:
(1) NJDOCS Infectious Disease Physician (this provider
covers facilities in Northern and Central NJ)
(2) Cooper University (facilities in Southern NJ including
Bayside, Riverfront, Southern State and Southwoods
Correctional Facilities)
(3) AIDS Education and Training Center
HIV Care Delivery
 Inmates have access to all of the FDAapproved medications in the NJ DOCS.
 As a result, there has been a rapid decrease
in HIV-related deaths.
Transitional Planning
• The NJ DOCS has an Office of Transitional Services.
• Each facility has a discharge planner for all inmates exiting the system
to ensure community linkages for aftercare and clinical services. This is
for all inmates regardless of their HIV status.
• Aftercare services include referrals, appointment scheduling, special
housing arrangements or other identified needs specific to the inmate.
• Inmates get a 14-day supply of all medications when they leave the NJ
DOCS, including HIV treatment
New York and New Jersey AETC
Correctional Education Contacts
ID Care
105 Raidar Boulevard, Suite 101
Hillsborough, NJ 08844
Debbie M. Winters, APRN-BC, AACRN
Coordinator
908-788-6045
[email protected]
Garden State Infectious Disease Association
709 Haddonfield-Berlin Road
Voorhees, NJ 08043
Kelly Rand, MA
Coordinator
856-805-0002
[email protected]
Center for Continuing and Outreach Education
University of Medicine & Dentistry of New Jersey
30 Bergen Street, ADMC 710
P.O. Box 1709, Newark, NJ 07101
Newark, NJ 07101
http://ccoe.umdnj.edu/catalog/aids/index.htm
Curtis Harris, MPA
Director, Division of AIDS Education
Phone: 973-972-6325
Fax: 973-972-3371
[email protected]
Albany Medical College
Division of HIV Medicine
HIV Correctional Regional Resource Center
47 New Scotland Avenue, MC-158
Albany, NY 12208
http://www.amc.edu/Patient/services/HIV/Correctional.html
Sarah J. Walker, MS
Associate Director of HIV Correctional Education
518-262-4674
[email protected]