HIV & Housing: The Urgency of NowImplementing the National HIV/AIDS Strategy: From Strategy toAction to Impact, 2011 National HIV Prevention Conference, 8/14/11David Vos, Director, Office of HIV/AIDS Housing
Housing: Investing in the FutureHousing is a critical component of HIV care and preventionsystems – reducing homelessnessHelping homeless and unstably housed people: • enter into supportive housing and remain in care, • reduce HIV risk behavior, & • adhere to complex treatment regimensReduces the risk of HIV transmission to others.Need to address disparities—seen in retention in care &delayed entry into care.
Housing: Investing in the Future[O]ur task is to build on these advances and deliverscientifically validated interventions……treatment and care …is not optimal… [in US] only about19 percent have a viral load that has been driven toundetectable levels by combination therapy.…greater numbers of HIV-infected individuals need to beidentified early… [with] linkage to appropriate care andantiretroviral treatment. Dr. Anthony Fauci, Director, National Institute of Allergy and Infectious Diseases Thirty Years of AIDS, Guest Opinion 6/11
Housing: Investing in the Future• Stable housing is one of the most cost-effective strategies for driving down HIV/AIDS health care costs —currently range $20,000 to $34,000 per client per year —compared to reliance on emergency care up to $290,000• Stabilize this medically vulnerable and highly stigmatized population, while facilitating and assessing their participation in care.• Investment in a diversity of housing support – Rental assistance subsidies and short-term payments & – Supportive housing facilities, community residences & projects offering short-term and transitional housing to prevent homelessness – Client support in service coordination, case management, connecting to care
HOPWA: Investing in the FutureHOPWA commitment is a cornerstone of enhanced HUD partnership with community efforts on HIV/AIDS – HUD is working to engage in better community planning – by sharing meaningful data to inform plans & review results – To improve leveraging of HIV and homeless efforts with other resources to promote access to health care and other services needed – Making Information technology improvements to reduce burdens in system use and reporting, allowing better tracking of results and transparency
HOPWA: Investing in the FutureThe National HIV/AIDS Strategy establishes three major goals to:1) reduce HIV infections,2) increase access to care for persons living with HIV/ AIDS and improve health outcomes, and3) reduce HIV-related disparities.HUD is leading efforts to:Developing a plan to shift to HIV/AIDS case reporting as a basis for HOPWA formula funding.Increasing access to housing & non-medical services. • Identify models in coordinating delivery of supportive • innovative case management and other mechanisms.
HOPWA: Investing in the FutureAchieve the NHAS target of increasing the number of Ryan White clients with permanent housing from 82% to 86% by 20152011 New Projects Competition, as issued May 18, 2011• Integrated HIV/AIDS Housing Plans (IHHP)• Applications rec’d August 2, 2011 via grants.gov• Offering $9.1 million for 6 to 8 awards• Seeking new partnerships, inc. Housing Authorities• Cross-program approaches to delivery of housing, care and services• Baseline of unmet housing needs inc. Ryan White reports• Help ID health outcomes that inform housing efforts
HOPWA InformationHOPWA links to documents, profiles, financial management training, oversight / desk guide and eLearning resourceswww.HUDHRE.info/HOPWA section on the Homelessness Resource Exchange • Find a Local HOPWA Project Info • Email to HOPWA@hud.gov