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Description:Transitional Care Coordination (TCC) is a structural-level intervention focused on improving HIV-related outcomes for incarcerated persons with HIV (PWH) prior to their transition back into their communities. In Puerto Rico, TCC is integrated into the existing organization operations of The One Stop Career Center of Puerto Rico (OSCC-PR) to address health care access and social determinants of health (e.g., housing, employment/income, food, transportation, social support) for incarcerated persons with HIV. Direct service staff at OSCC-PR are trained in care coordination, HIV treatment and prevention, stigma, and sexually transmitted infections (STIs), as well as crisis intervention. Direct service staff responsibilities also include accompanying PWH from correctional facilities to their home and offering community case management, transportation, accompaniment to HIV care, and support in accessing mental health and substance use services, as well as support to address other needs (e.g., housing, employment/income, personal hygiene products). In addition to the TCC services, the OSCC-PR also established a provider network across all jurisdictions in Puerto Rico to support reentry and address care needs for PWH.
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