Guaranteed Income to Boost HIV Care Continuity and Suppression Post-Jail Release
University of California, San Francisco
Summary
The goal of this clinical trial is to understand the implementation requirements and potential health impacts of a guaranteed income (GI) intervention targeting people living with HIV with criminal legal involvement (PWH-CLI). The main questions it aims to answer are: * How acceptable is a GI intervention, and its intervention components, among PWH-CLI participants and stakeholders? * How feasible is a GI intervention for PWH-CLI? What are the implementation barriers and opportunities for this intervention? * What is the preliminary efficacy of the GI intervention on improving HIV care outcomes for PWH-CLI? Researches will compare study engagement and study outcomes across three randomization arms (A: receive full GI amount as one lump sum payment; B: receive full GI amount split over nine monthly installments; C: participant chooses whether to receive GI as lump sum payment or monthly installments). HIV care outcomes will be compared against a retrospective cohort of PWH-CLI patients as historical controls. Participants will: * Be randomized to receive GI intervention as a lump sum payment or monthly installment (over nine months) or choose their preference. * Complete 3 surveys throughout study follow up to assess experience with the intervention, experience with social services and benefits programs, experience with the criminal legal system, and HIV care outcomes. * Be interviewed by the research team to further understand the experience with the intervention.
Description
One-in-seven people living with HIV (PWH) experience incarceration annually. HIV prevalence among those with criminal legal involvement (CLI) is 3x higher than the general population. Upon release, PWH-CLI encounter competing priorities and structural barriers to addressing unmet basic needs, resulting in suboptimal care cascade outcomes. Guaranteed income (GI) through unconditional cash transfers can improve mental health, meet basic needs, and boost employment prospects. However, its effects on PWH-CLI, who face unique post-release challenges affecting HIV treatment retention and viral suppr…
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * 18 years of age or older, * Living with an HIV diagnosis * Have a recent incarceration in the San Francisco County Jail (within three months of study enrollment) * Qualify as very low income (for example, currently experiencing homelessness or having an income less than 30% of the area median income). * English literate. Exclusion Criteria: * Individuals with an active psychosis who are not on treatment * individuals who do not have a social security number or individual tax ID number
Interventions
- OtherLump sum
Participants receive guaranteed income (GI) to the amount of $6,750 as a one-time lump sum payment.
- OtherMonthly installments
Participants receive guaranteed income (GI) to the total amount of $6,750 as 9-monthly installments of $750 per month
- OtherChoice
Participants choose which method of guaranteed income disbursement they will receive (lump sum or monthly installment)
Location
- University of California, San FranciscoSan Francisco, California