This paper is intended to expand our understanding of factors that influence the successful adoption of new or modified HIV services in correctional settings. The nine-site project developed and directed an organization-level intervention designed to implement improvements in preventing, detecting, and treating HIV for persons under correctional supervision.
Using semi-structured interviews to elicit perceptions from Senior Researchers and Executive Sponsors at each of the nine sites, this paper presents their views and observations regarding the success of the experimental intervention in their criminal justice setting. Within the areas of focus for implementation (either HIV prevention, testing, or linkage to community treatment) the complexity of programmatic needs was very influential with regards to perceptions of success.
An organization's pre-existing characteristics, staffing, funding, and interorganizational relationships contributed to either the ease or difficulty of programmatic implementation.
Results are discussed pertaining to furthering our understanding of why new or modified healthcare interventions achieve success, including whether the intervention is a modification of existing practice or is a new intervention, and the choice of implementation strategy.
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By:
- 1Friends Research Institute, Inc., Baltimore, Maryland.
- 2University of Connecticut, West Hartford, Connecticut.
- 3Abt Associates, Inc., Cambridge, Massachusetts.
- 4University of Louisiana at Lafayette, Lafayette, Louisiana.
- 5Temple University, Philadelphia, Pennsylvania.
- 6University of Delaware, Newark, Delaware.
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