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Janet Myers, PhD, MPH, Barry Zack, MPH, Katie Kramer, MSW, MPH, Mick Gardner, BA, Gonzalo Rucobo and Stacy Costa-Taylor, MS

Janet Myers is with the Center for AIDS Prevention Studies, University of California, San Francisco, and is a regular evaluation collaborator with Centerforce. Barry Zack, Katie Kramer, Mick Gardner, Gonzalo Rucobo, and Stacy Costa-Taylor are with Centerforce, San Rafael, Calif.

Correspondence: Requests for reprints should be sent to Janet Myers, PhD, MPH, Center for AIDS Prevention Studies, UC San Francisco, 74 New Montgomery, Suite 600, San Francisco, CA 94105 (e-mail: jmyers{at}psg.ucsf.edu).

Individuals leaving prison face challenges to establishing healthy lives in the community, including opportunities to engage in behavior that puts them at risk for HIV transmission. HIV prevention case management (PCM) can facilitate linkages to services, which in turn can help remove barriers to healthy behavior.

As part of a federally funded demonstration project, the community-based organization Centerforce provided 5 months of PCM to individuals leaving 3 state prisons in California. Program effects were measured by assessing changes in risk behavior, access to services, reincarnation, and program completion. Although response rates preclude definitive conclusions, HIV risk behavior did decrease. Regardless of race, age, or gender, those receiving comprehensive health services were significantly more likely to complete the program. PCM appears to facilitate healthy behavior for individuals leaving prison.

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