Robert L. Trestman
"Sharing health information across correctional boundaries presents many challenges. Three such projects in Connecticut may be of value in informing other jurisdictions of similar opportunities. This article describes the development and implementation of an interagency release of information (ROI) document and process, a voucher program to provide discharge medications at the time of release, and a statewide research-oriented health information network" (p. 1). Sections of this article include: introduction; interagency release of information (ROI) document and process; the Medicaid prescription voucher program; Connecticut Health Information Network (CHIN)—distributed system, security, record linkage, and governance; and conclusion.
This is an excellent article that explains how the use of antiretroviral therapy (ART) in a correctional setting can positively impact the viral suppression of incarcerated individuals with HIV. "Though just one-third of HIV-infected prisoners receiving ART entered correctional facilities with viral suppression, HIV treatment was optimized during incarceration, resulting in the majority achieving viral suppression by release. Treatment for HIV within prison is facilitated by a highly structured environment and, when combined with simple well-tolerated ART regimens, can result in viral suppression during incarceration. In the absence of important and effective community-based resources, incarceration can be an opportunity of last resort to initiate continuous ART for individual health and, following the “treatment as prevention” paradigm, potentially reduce the likelihood of HIV transmission to others after release if continuity of HIV care is sustained."