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

HIV & Housing: The Urgency of Now

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.

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

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 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

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, 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.

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

HOPWA Information

HOPWA links to documents, profiles, financial management training, oversight / desk guide and eLearning resources

www.HUDHRE.info/HOPWA sectionon the Homelessness Resource Exchange

• Find a Local HOPWA Project Info• Email to HOPWA@hud.gov

30 years