The goal of this proposal is to test the DEST2nation model (an effective, person-centered, low-barrier, comprehensive model of post-incarceration medical care) with people with criminal legal system involvement (PCLSI) living with HIV or related risk factors. Peer navigation interventions, while an evidence-based strategy for HIV care engagement post-incarceration, have only been moderately effective. Additionally, strengths-based case management and motivational enhancement counseling plus text message adherence reminders also did not improve viral suppression over standard care. A common limitation of these interventions is their inability to meet complex social needs PWH face post-incarceration. While peer engagement and navigation assistance are important to link PWH to medical care, more attention is needed to address unmet social needs.
