Project HIP HOP

Background

Project HIP HOP (Health in Prison, Health out of Prison) targets 18-29 year old men who are being released from prison. We have developed an intervention based on a prevention case management model that focuses on preventing sexual and drug-related risk that could lead to HIV, STD or hepatitis infection. The intervention uses techniques of harm reduction, motivational interviewing and problem solving. A secondary goal of the intervention is to prevent reincarceration.

Project HIP HOP is the local site name for a national study (Project START) which is also being conducted in Mississippi, Rhode Island and Wisconsin. The study began in 1998 with interviews with men and women providing services inside the prison as well as to community service providers. After the service provider interviews, we recruited a group of 27 young men being released from prison and interviewed them 1-week, 1-month, 3-months and 6-months after their release from prison. Based on this formative work, investigators from the four study sites developed the intervention.

The intervention begins before men are released from prison. In addition to assessing HIV, STD and hepatitis risk (individualized risk assessment) and developing an individualized risk reduction plan, the intervention focuses on other life issues for men leaving prison such as finding employment, successfully completing parole and re-establishing family and other relationships. The intervention continues for three months following release from prison.

Findings

We tested the effectiveness of the intervention by comparing it to an intervention that is completed prior to release and focuses exclusively on HIV, STD and hepatitis risk behavior including an individualized risk assessment and an individualized risk reduction plan. Study participants were assessed one week, three months and six months following their release from prison. See the results of the evaluation:

Last modified: January 20, 2011