Project Summary Justice-involved Black men who have sex with men (BMSM) are particularly vulnerable to HIV, and oftentimes experience delayed uptake and benefit from available HIV services. Status neutral interventions for justice- involved BMSM are pertinent and urgently needed to address the social and structural barriers to HIV services (e.g., unemployment) experienced by this population. Our collaborative has prioritized four status neutral interventions (i.e., transitional case management [TCM], employment navigation [EN], contingency management intervention [CMI], and employer outreach and support [EOS). Combining these interventions together will maximize their independent effectiveness and provide significant promise for improving access to HIV and employment-related services for justice-involved BMSM. We will utilize seven prioritized bundled implementation strategies to support the adoption, implementation, and sustainability of status neutral interventions within community and criminal justice settings. The overarching goals of the planned multi-site type 2 hybrid effectiveness-implementation study, J-RISE: Relevant Implementation Strategies to Eliminate the social and structural barriers to HIV services among Justice-involved BMSM is to simultaneously evaluate the effectiveness and implementation of two packaged status neutral interventions within justice and community settings to improve access to HIV and employment-related services. J-RISE is led by an academic, community, and criminal justice collaborative and conducted in three Ending the HIV Epidemic (EHE) jurisdictions in Illinois and Louisiana. Aim 1. Evaluate the effectiveness of two packaged status neutral interventions (TCM versus TCM+EN+CMI) on primary outcomes (linkages to HIV care, PrEP care, and employment-related services within 90 days) and secondary outcomes (receipt of mental health and substance use services, retention in HIV care, viral suppression, PrEP persistence, and sustained employment) among justice-involved BMSM. Aim 2. Evaluate the bundled implementation strategies and implementation outcomes at multiple levels using CFIR, RE-AIM, and MIPA. Key implementation outcomes include acceptability, adoption, costs, fidelity, penetration, and sustainability. J-RISE will generate novel information about the utility of our chosen implementation strategies as well as critical information about the effectiveness and cost of packaged status neutral interventions to optimize HIV and employment-related outcomes for justice-involved BMSM in multiple EHE jurisdictions.

Project Narrative The proposed study will examine the implementation and impact of delivering two packaged status neutral interventions focused on enhancing access to HIV and employment-related services for justice-involved Black men who have sex with men in Illinois and Louisiana.