Identification Do you have an ID? Yes No If no, do you know how Yes No to get one? Do you have a driver’s Yes No license? If yes, are any holds Yes No on your ID that you need to take care of? Basic needs Will you need food when you Yes No first get out? Will you need clothing or Yes No shoes when you are released? If yes, is anyone bringing Yes No you clothes? Will you need any toiletry Yes No items (soap, toothbrush, toothpaste, comb, etc.) when you are released? HIV Care Will you need a supply of Yes No medications when you are released? If no, what is your plan of obtaining medications once released? HIV/STI/Hepatitis harm reduction/risk reduction What materials/support might you need when you get out to help reduce your risk of transmitting HIV/STI/hepatitis? Additional medical, mental health, and substance use support In addition to your primary Yes No care appointment, are there medical services that you’ll need when you are released? Will you need substance use Yes No services when you are released? Will you need mental health Yes No services when you are released?
Identification Do you have an ID? Yes No If no, do you know how to get one? Yes No Do you have a driver’s license? Yes No If yes, are any holds on your ID that you need to take care of? Yes No Basic needs Will you need food when you first get out? Yes No Will you need clothing or shoes when you are released? Yes No If yes, is anyone bringing you clothes? Yes No Will you need any toiletry items (soap, toothbrush, toothpaste, comb, etc.) when you are released? Yes No HIV Care Will you need a supply of medications when you are released? Yes No If no, what is your plan of obtaining medications once released? HIV/STI/Hepatitis harm reduction/risk reduction What materials/support might you need when you get out to help reduce your risk of transmitting HIV/STI/hepatitis? Additional medical, mental health, and substance use support In addition to your primary care appointment, are there medical services that you’ll need when you are released? Yes No Will you need substance use services when you are released? Yes No Will you need mental health services when you are released? Yes No
Jails-Implementation%20Manual%20Appendices.docx