Status-neutral interventions for Black justice-involved adults may improve access to HIV services, but they have not yet been rigorously evaluated.

Black justice-involved adults are particularly vulnerable to HIV and often experience poor access to and benefits from HIV prevention and care services. They are also more likely to be unemployed, underemployed, or engaged in the informal economy, which increases their likelihood of becoming reincarcerated.

Interventions to support people regardless of HIV status (also called “status-neutral”) are a promising practice to improve access to HIV services. Status-neutral interventions are a holistic or whole person approach to delivering services that also address social and structural barriers to HIV services (like employment, transportation, or intersectional stigma) experienced by many Black justice-involved individuals. 

While status-neutral interventions show promise in improving access to HIV prevention and care services, they have not yet been rigorously evaluated. It is important to build this evidence base and document implementation strategies that can support their adoption and delivery among this population.

NORC is supporting the implementation and evaluation of the J-RISE interventions.

NORC efforts are guided by two implementation science frameworks: CFIR— Consolidated Framework for Implementation Research and RE-AIM—Reach, Effectiveness, Adoption, Implementation, Maintenance. The status-neutral interventions for J-RISE are designed to improve HIV, pre-exposure prophylaxis (PrEP), and/or employment-related outcomes among Black justice-involved adults at risk for HIV. These interventions include:

• Transitional case management. Case managers will support access to HIV care, prevention, and supportive services.
  
• Employment navigation. Case managers will support employment, training, and career development goals.
  
• Contingency management. Providing financial incentives for the achievement of specific HIV care, treatment, and prevention-related milestones.
  
• Employer outreach and support. Providing education and outreach to local employers and staffing agencies to support the needs of formerly incarcerated individuals.
  

J-RISE will be implemented in three jurisdictions: Cook County, IL; Baton Rouge, LA; and New Orleans, LA.