Leveraging CHWs to Improve COVID-19 Testing and Mitigation Among CJIs Accessing a Corrections-focused CBO
Covid19
About this trial
This is an interventional screening trial for Covid19 focused on measuring COVID19, justice-involved individuals, Point-of-care testing, community based organization
Eligibility Criteria
Inclusion Criteria:
- 1) Fortune clients
- >18 years old
- fluent in English or Spanish
- residents of NYC
- released from jail or prison within 90 days
Exclusion Criteria:
- Inability to provide informed consent
- inability to complete study visits over 12 months
- Does not plan to reside in the NYC area for the next year.
- terminal illness
Sites / Locations
- Montefiore Medical CenterRecruiting
- Fortune SocietyRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
onsite Point-of-care (o-POC)
Standard of Care (SOC)
CHWs will reach out to participants to schedule O-PoC visits. At O-PoC visits, CHWs will provide: 1. COVID-19 education; 2. PoC Cepheid XpertXpressSARS-CoV-2PCR tests; 3. Needs assessments and facilitated access to masks and hygiene supplies; 4. Navigation to vaccination sites (when available) and single-room housing at Fortune's supportive housing sites and partnering shelters or alternative strategies that will maximize the ability to socially distance for those who test PCR positive; 5. Supportive counseling. Due to SCT's emphasis on social influence, external and internal social reinforcement, we propose our O-PoC intervention delivered by CHWs onsite at Fortune locations over a 12-month period will lead to increased uptake of mitigation behaviors.
The current standard of care (SoC) for SARS-CoV-2 testing for Fortune clients is referral to offsite community testing sites and informal, unstructured education. In the SoC arm, Fortune staff will provide clients with a list of offsite SARS-CoV-2 testing locations, which are published online and available to all NYC residents. Those without insurance are not subject to a copay. Participants in SoC will continue to receive Fortune's suite of services as they are delivered (remote and/or in-person) at the time of study participation.