Women are the fastest-growing population in the criminal justice system, an
d jails reach more people than any other component of the correctional syst
em. About 1 million women pass through US jails each year. Most return to t
heir communities within a few weeks of arrest, and few receive help for the
substance abuse, health, Psychological or social problems that contribute
to incarceration. WE describe a model program, Health Link, designed to ass
ist drug-using jailed women in New York City to return to their communities
, reduce drug use and HIV risk behavior, and avoid rearrest. The program op
erates on four levels: direct services, including case management for indiv
idual women in the jail and for 1 year after release; technical assistance,
training, and financial support for community service providers that serve
ex-offenders; staff support for a network of local service providers that
coordinate services and advocate for resources; and policy analysis and adv
ocacy to identify and reduce barriers to successful community reintegration
of women released from jail. We describe the characteristics of 386 women
enrolled in Health Link in 1997 and 1998; define the elements of this inter
vention; and assess the lessons we have learned from 10 years of experience
working with jailed women.