201 Restrictive Housing in Juvenile Settings: Health Impacts and Proposed Guidelines

Isabel Chin, BA, Brown University Warren Alpert School of Medicine

The authors review and evaluate the medical literature on the health impacts of restrictive housing in juvenile correctional settings in the United States. Findings demonstrate significant impacts on mental health, suicide, and mortality. Given the lack of universal definitions and regulations around restrictive housing, this poster outlines guidelines for the limited use of restrictive housing for juveniles and explores alternatives.

202 GAPP: Gassing Awareness and Prevention Program

Wilson John Uy, MSHA, BSN, RN, CCHP, Los Angeles County Department of Health Services

Gassing refers to the flinging of bodily excrement at unsuspecting staff and is considered aggravated assault. This form of primal aggression has many negative impacts on staff: exposure to infectious diseases, demoralization, and potential long-term PTSD. Nursing and custody joined forces to address this issue in hopes of decreasing the number of incidents.

204 NAMI Peer Support Model for Individuals in Prisons

Frank Carrillo, MA, Virginia Department of Corrections

Illustrates current data empirically for peer supports within a prison setting.

205 End-of-Life Care in Correctional Settings: A Scoping Literature Review

Shivani Kaushik, MSW, Colorado State University

This poster will reveal findings from a scoping literature review of end-of-life care in correctional settings. It will also present a conceptual diagram of “dying well” in correctional facilities, barriers to end-of-life care, benefits of hospice-based programs, and the integral role of social workers within prison hospice systems.

207 Variations in DEA-Waivered Provider Use of Buprenorphine for Treatment of Opioid Use Disorder

William Mullen, MPH, PA-C, Indivior

This poster evaluates the impact of the Comprehensive Addiction and Recovery Act on waivered providers and reviews buprenorphine utilization among waivered providers. The geographic dispersion of waivered providers was evaluted to identify areas of concentration, absence of waivered providers, and the utilization of buprenorphine in those areas. While waivered providers continue to expand and the provider mix is evolving after CARA, the percentage of providers not prescribing buprenorphine remains high.

208 A Point-of-Care Testing Model for HIV and HCV Screening in the Cuyahoga County Corrections Center

Michael Gierlach, MPH, FOCUS (Frontlines of Communities in the United States) Project at The MetroHealth System

This presentation will describe the implementation of routine testing for HIV and HCV within a county corrections center. It will compare use of laboratory testing versus point-of-care testing (POCT) and describe implementation challenges, staffing needed, and workflows utilized with both models. Lastly, the presentation will identify gaps in care and offer solutions for closing those gaps.

209 Use of Non-Prescribed Buprenorphine: Perspectives of Individuals Recently Released From Incarceration

Jan Gryczynski, PhD, Friends Research Institute

Buprenorphine is an effective pharmacotherapy for treating opioid use disorder. Buprenorphine diversion has been reported in community and incarceration settings, but less is known about the latter. This presentation reports findings from interviews with 300 individuals with OUD recently released from incarceration. The study focused on understanding buprenorphine diversion during incarceration and in the community, and examined perceived availability, use patterns, motivations for use, and market factors across contexts.

210 Treating Female Incarcerated SPMI Patients With CBT, Clinical Hypnosis, and Contingency Management

Gary Beale, PhD, State of Hawaii

A trauma-informed treatment program for incarcerated female SPMI patients combines CBT and clinical hypnosis as primary treatment modalities within a token economy milieu. This presentation will discuss the goals, inputs, activities, outputs, and impacts of the program. Attendees will participate in a hypnotic group induction to aid their analysis of the utility of hypnosis as a clinical tool, and will evaluate the effectiveness of this treatment program.

211 Characteristics of COVID-19 Infection in the Dallas County Jail

Ank Nijhawan, MD, MPH, University of Texas Southwestern Medical Center; Nathan Yeh, Dallas County Jail

This poster describes the approach to screening, testing, housing, and monitoring patients with COVID-19 in a county jail. Examination of detailed demographic and clinical characteristics of patients over a two-month period found that when compared to the general jail population, COVID-positive individuals were more likely to be male, Hispanic, and over age 40. Jail patients were much less likely to require hospital admission compared to nonincarcerated county residents.

212 A Mindfulness Group Intervention to Increase Resilience in Youth at Risk for Reincarceration

Tiffany Augustine, MA, The Chicago School of Professional Psychology at Xavier University of New Orleans

Nearly 48,000 youth are being held in U.S. correctional facilities, exposed to stress and violence that can lead to psychological distress, declining mental health and cognitive functioning, and increases in antisocial behaviors. These youth are then reintegrated into their communities where they are expected to unlearn these antisocial behaviors and refrain from reoffending. This presentation introduces a refined mindfulness-based treatment that has the potential to assist in the reintegration process.

213 Health-Related Quality of Life and Medical Costs of People Living With HIV in Italy

Rachel Prosser, PhD, APRN, and Cassidy Trom, PharmD, Gilead Sciences, Inc.

This study assessed factors associated with health-related quality of life (HRQoL) and medical costs of people living with HIV in Italy. A cross-sectional analysis of 651 PLHIV on antiretroviral therapy was conducted. This study showed that in the real-world setting, single-tablet or multi-tablet regimen, adherence, and comorbidities (all p < 0.05) are associated with HRQoL and medical costs of PLHIV in Italy.

214 The Process of Developing Computer-Based Training for Use by Peer Caregivers

Erin Kitt-Lewis, PhD, RN, Penn State College of Nursing

This presentation will explain the iterative process of developing computer-based training for use by peer caregivers who are incarcerated. Inmates Care Phase I findings, content advisory board expertise, and focus groups with peer caregivers and corrections staff will determine refinements to existing modules and additional content areas to be developed for the evidence-based, interactive training program. The final product, Inmates Care, will be ready for usability testing.

215 Utilization Review and Informed Care Strategies: Managed Care in a Detention Setting

Tonya Smith, EdD, MS, RN, US Public Health Service; Shawna Bogle, RN, CCHP, and Kathleen Williams, RN, CCHP, ICE Health Service Corps

ICE Health Services Corps

This presentation will highlight the need for utilization review within the Immigration and Customs Enforcement Health Corps system of care. Authors will discuss steps to implementation of a utilization management program for oversight of off-site health services, program goals, lessons learned, and implications for optimizing program effectiveness.

216 Women’s Bladder Health and Incarceration: Prevention of Lower Urinary Tract Symptoms

Amy Smoyer, PhD, MSW, Southern Connecticut State University

Women’s bladder health is shaped by a wide range of individual, social, and structural issues. This presentation will build knowledge about lower urinary tract symptoms (urgency, frequency, incontinence, bladder infections) and how the prison experience may impact behaviors related to bladder health. Data from 11 focus groups with incarcerated and justice-involved women will be shared. Ways to adjust institutional policies and practices to promote bladder health will be explored.

217 Perceived Preparedness for COVID-19 Among Health Care Workers in Correctional Settings

Lauren Nguyen, Tulane School of Public Health and Tropical Medicine

Health care workers in correctional settings play a unique role in addressing the COVID-19 pandemic. Facility type has a statistically significant effect on the prediction of cognitive, behavioral, and environmental measures of perceived preparedness to manage COVID-19, pointing toward vulnerabilities for HCWs who work in jails. There is also wide variation in the time it took for HCWs to have access to adequate protocol and PPE to manage COVID-19.