The document discusses how housing is a critical component of HIV/AIDS care and prevention. It summarizes that housing helps people living with HIV/AIDS (1) enter and remain in care, (2) reduce risk behavior, and (3) adhere to treatment regimens. However, only 19% of those infected in the US currently have undetectable viral loads. The document calls for greater investment in housing programs like rental assistance and supportive housing to improve health outcomes and reduce costs of care.

1. HIV & Housing: The Urgency of Now
Implementing the National HIV/AIDS Strategy: From Strategy to
Action to Impact, 2011 National HIV Prevention Conference, 8/14/11
David Vos, Director, Office of HIV/AIDS Housing

2. Housing: Investing in the Future
Housing is a critical component of HIV care and prevention
systems – reducing homelessness
Helping homeless and unstably housed people:
• enter into supportive housing and remain in care,
• reduce HIV risk behavior, &
• adhere to complex treatment regimens
Reduces the risk of HIV transmission to others.
Need to address disparities—seen in retention in care &
delayed entry into care.

3. Housing: Investing in the Future
[O]ur task is to build on these advances and deliver
scientifically validated interventions…
…treatment and care …is not optimal… [in US] only about
19 percent have a viral load that has been driven to
undetectable levels by combination therapy.
…greater numbers of HIV-infected individuals need to be
identified early… [with] linkage to appropriate care and
antiretroviral treatment.
Dr. Anthony Fauci, Director, National Institute of Allergy and Infectious Diseases
Thirty Years of AIDS, Guest Opinion 6/11

4. 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

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8. HOPWA: Investing in the Future
HOPWA 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

9. HOPWA: Investing in the Future
The 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, and
3) 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.

10. HOPWA: Investing in the Future
Achieve the NHAS target of increasing the number of Ryan White clients
with permanent housing from 82% to 86% by 2015
2011 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

11. HOPWA Information
HOPWA links to documents, profiles, financial
management training, oversight / desk guide
and eLearning resources
www.HUDHRE.info/HOPWA section
on the Homelessness Resource Exchange
• Find a Local HOPWA Project Info
• Email to HOPWA@hud.gov

12. 30 years