NIH-funded research NIH-funded research

A decentralized, post-incarceration program to help people living with or at risk for HIV

Official title: A Decentralized, Status neutral, Stakeholder-engaged, post-incarceration intervention for people with and at risk for HIV

Funded at Albert Einstein College of Medicine · NIH-11571401 · Data updated 2026-11-12

A patient-facing program called DEST2nation aims to help people recently released from jail or prison stay on HIV treatment (ART) and prevention (PrEP) by coordinating care, housing, and support services through peers and community organizations.

Quick facts

Grant typeNIH-funded research
Study typeNIH-funded research
Funding institutionAlbert Einstein College of Medicine
NIH-funded
Lab location1 site (Bronx, United States)
Project startMay 15, 2024
Project endJuly 31, 2029
Funding year2026
Award (this year)$160,441
NIH project number3R33DA060627-03S1
Project IDNIH-11571401 on NIH RePORTER

Who could benefit from this research

Could help

Adults with HIV or at risk for HIV who are recently released from incarceration and who have or are at risk for substance use disorders.

Less likely to help

People without recent incarceration or without HIV risk factors or substance use disorders may not directly benefit from this program.

What this research studies

This grant plans a phased approach to create a post-release support model for people with HIV or at risk for HIV who have substance use disorders and have recently left carceral facilities. It will pair peer navigators with carceral-focused community organizations to address barriers like housing, employment, stigma, and medical mistrust, while coordinating ART and PrEP engagement. The project emphasizes a decentralized, status-neutral framework to ensure access to HIV care regardless of current status, with input from stakeholders throughout. If successful, it could improve viral suppression after release and reduce HIV transmission in the community.

Why it matters

Potential benefit: If successful, the program could improve ART/PrEP uptake and adherence after release, helping people stay healthier and reduce HIV transmission.

How similar studies have gone: Previous work suggests that peer navigation and community-linked services can improve engagement in HIV care, but this specific post-incarceration, stakeholder-engaged model is novel and needs testing.

Where this research is happening

  • Albert Einstein College of Medicine
    Bronx, United States
    Active

Researchers

  • Principal investigator: Akiyama, Matthew — Albert Einstein College of Medicine
  • Study coordinator: Akiyama, Matthew

Related research

Other NIH-funded projects on the same topics.

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.