C*Change empowers, educates and advocates for improved hepatitis C testing and treatment in U.S. jails and prisons.

Program Highlights/Accomplishments:

C*Change has applied for support for the following programs, scheduled to begin in October 2011.
• C*Note: Information and Advocacy for Correctional Medical Providers A quarterly publication focused on hepatitis C testing and treatment in U.S. jails and prisons, C*Note will educate and support correctional medical providers to provide hepatitis C testing and treatment in their facilities. C*Note will consist of new scholarship, reports on projects and research in progress, and summaries of existing literature, and is modeled on the former “Infectious Disease in Corrections Report” with the same key editors and contributors: Frederick Altice, MD, Joseph Bick, MD, Anne DeGroot, MD, David Paar, MD and David Wohl, MD. Published quarterly in 2011-2012, we will provide C*Note by email annoucement of each issue‘s availability online and for PDF download at our website: www.cchangeinhealth.org. C*Note‘s impact will be evaluated via a self-administered, online pre- and post-test questionnaire prior to download of the first and fourth issues. The
evaluation will assess readers‘ knowledge of and willingness to provide hepatitis C treatment.
• C*Test Pilot and C*Test SF: Testing Services in High Volume Correctional Settings The time of incarceration represents an unparalleled opportunity to identify individuals infected
with hepatitis C. While the typical length of a jail stay makes it inappropriate to initiate treatment in jail, the volume of high risk individuals passing through urban jails make them an extremely efficient locus of testing to identify currently undiagnosed positives. C*Test Pilot is a three month program to evaluate the feasibility of providing rapid hepatitis C testing to individuals entering the Los Angeles County jail system during their initial intake, in the “Inmate Reception Center” (IRC). This pilot project will conduct 100 rapid hepatitis C antibody tests with the supervision of Dr. Mark Malek, the Los Angeles Sheriff’s Department Epidemiologist and Preventative Medicine Director. Our goal is to determine the feasibility of establishing rapid testing upon intake, with the intention of expanding and continuing the project to determine, ultimately, the prevalence of hepatitis C among individuals being admitted to the Los Angeles County jails. C*Test SF is a year-long program to conduct, at a minimum, 700 hepatitis C antibody tests among individuals entering the San Francisco County jail system. C*Test SF has been designed with the Forensic AIDS Project (FAP), a division of the San Francisco Department of Public Health‘s Jail Medical Services. It will work in tandem with the FAP, and use existing staff. C*Test SF will establish new testing stations in “Intake Central Processing” (ICP) through which jail entrants pass just after being admitted to jail, but before being placed in permanent housing. By conducting screening in this location, permanent blood draw sites will be established to serve a housing area through which 50,000 jail entrants pass each year.
• C*Link: Novel Parolee Linkage to Care Services A six-month pilot to test novel and innovative ideas to link chronically infected HCV positive parolees from jail and prison to care, we will work with parolees returning to San Francisco County to link them to hepatitis C treatment. We will liaise with the SF Sheriff’s Department, the SF Parole Department of and Drug Court to identify and engage parolees known to be chronically infected with hepatitis C and educate and advise them of current treatment options. We will simultaneously liaise with clinics providing medical care to chronically infected hepatitis C individuals and provide a variety of novel services and tools to support HCV positive parolees in engaging in treatment. To assess the impact of C*Link, we will survey medical providers and conduct semi-structured interviews with clients engaged in hepatitis C treatment.

More Information:



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