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Health Status and Service Needs of Male Inmates Seriously Ill With HIV/AIDS at Two Large Urban Jails

Center for the Psychosocial Study of Health and Illness, Mailman School of Public Health, Columbia University, New York, dk307{at}columbia.edu

Victoria H. Raveis, PhD

Center for the Psychosocial Study of Health and Illness, Mailman School of Public Health, Columbia University, New York

Margaret Ratcliffe, MSW

Volunteers of America, Alexandria, Virginia

Herbert A. Rosefield, JR, EdD

Volunteers of America, Alexandria, Virginia

Irene J. Higginson, MD, PhD

Department of Palliative Care and Policy, Guy's, King's, and St. Thomas' School of Medicine, King's College, London

Male inmates with HIV/AIDS being served by case-management programs for those seriously ill in jails in Los Angeles (n = 34) and New Orleans (n = 20) are described and compared. At both sites, most were Black and poor with a history of substance abuse. Psychological functioning (Mental Health Inventory [MHI-5]) scores indicated poor mental health. Inmates reported an average of more than 10 symptoms, and at least 25% reported needing multiple medical, practical, and social services. These findings document a subpopulation of jail inmates who are seriously ill with HIV/AIDS, and they describe the potential care and service needs of such inmates. Given the chronicity of HIV/AIDS and the importance of strict adherence to treatment protocols, it is important not only to facilitate access to care and services for inmates but also to secure continuity of care and access to services when inmates are transferred to another facility or released into the community.

Key Words: health service delivery • HIV/AIDS • physical symptomatology • mental health • jails

This version was published on September 1, 2007

American Journal of Men's Health, Vol. 1, No. 3, 213-223 (2007)
DOI: 10.1177/1557988307304230


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