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Meaningful Dialogue: on Housing & Health . SYNChronicity - Federal Panel Remarks April 20, 2012 David Vos, Director, Office of HIV/AIDS Housing. Housing: Investing in the Future. Housing is a critical component of HIV care and prevention systems .

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Meaningful dialogue on housing health

Meaningful Dialogue: on Housing & Health

SYNChronicity - Federal Panel Remarks April 20, 2012

David Vos, Director, Office of HIV/AIDS Housing

Housing investing in the future
Housing: Investing in the Future

Housing is a critical component of

HIV care and prevention systems.

Helping homeless and unstably housed people:

  • enter into supportive housing and remain in care

  • reduce HIV risk behavior &

  • adhere to complex treatment regimens.

  • Addressing HIV disparities—seen in

    • retention in care &

    • delayed entry into care.

  • Housing investing in the future1
    Housing: Investing in the Future

    No one should experience homelessness.

    No one should be without a safe, stable place to call home.

    Stable supportive housing is the cornerstone of HIV/AIDS treatment, allowing individuals to access care regularly.

    (Opening Doors: the Federal Strategic Plan to Prevent and End Homelessness, U.S. Interagency Council on Homelessness)

    Over 25,000 PLWH in homeless situations, sheltered homeless data (2010 AHAR);

    Sheltered/unsheltered homeless count of 630,000 at point in time, along

    with 1.6 Americans experiencing homelessness during year


    Housing platform to improve health
    Housing: Platform to Improve Health

    • Maximum impacts

      • Coordination with mainstream & leveraged resources

      • Targeting to most pressing housing issues

      • Synergy in place-based outcomes

      • Strengthen understanding from cross-program perspectives

      • Engage with agencies & providers

        • Health-care City/State Planning

        • Housing Community Development

        • Employment Management

        • Veterans Finance

        • Social Services Stakeholders/Advisory bodies

        • Criminal Justice, Oversight

    Hopwa investing in the future
    HOPWA: Investing in the Future

    • U.S. Department of Housing and Urban Development FY12

    • $38.3 billion—83% used to support 4.5 million households with rental assistance, includes $1.9 billion in homeless assistance funds

    • HOPWA: $332 million, continues support for 60,234 households

    • Formula Allocations (90%): $298.8 million(125 grantees, established in annual action plans and 5 year Consolidated Plans)

    • Competitive Grants (10%): $33.2 million(28 renewals,3-29-12) including models for re-entry post-incarceration efforts, employment services and life skills, action to address chronic homelessness , and rural projects

    Hopwa modernization proposals
    HOPWA Modernization Proposals

    • A. Expanding Short-Term Housing Interventions.

    • Align with related short-term interventions & rapid rehousing

    • Add more flexible rental assistance terms, up to 24 months (vs. 21 weeks)

    • B. Targeting funding to areas with the greatest needs

    • Shift HOPWA data source to HIV case reports, and update targeting to address housing costs & community resources, such as use of Fair Market Rents (FMR) and Poverty

    • Protect current operations & administrative adjustments.

    Hopwa cpd updates
    HOPWA & CPD Updates

    • OneCPD Technical Assistance on cross cutting needs for local capacity, on-line training on core curricula in grants management & housing service delivery

    • Community planning in Consolidated Plans that use meaningful data, map resources & needs and focus results with updated technology (IDIS)

    • Cross-program leveraging of resources on HIV, health & homelessness – use of core indicators, outcomes & reporting systems (HMIS) & related CARE

    • Use of new authorization -- HEARTH Act homeless assistance, e.g. Emergency Solution Grants (rapid re-housing/homelessness prevention)

    • Housing First service delivery, alignment of systems that target vulnerabilities, build supportive housing alliances

    Hopwa other updates
    HOPWA & Other Updates

    • New Partnerships with housing authorities – Community Planning and Public Housing networks Promoting Partnerships to Utilize Housing as a Platform for Improving Quality of Life, CPD Notice 2011-09 issued 9/20/11 and related second chance activities in assisting ex-offenders in re-entry

    • HOPWA Integrated HIV Housing Plans – 7 demonstration grants for cross program coordination of housing and service models 2011-2014. Pilot on Getting to Work initiative in 9 communities.

    • LGBT WH Conference on Housing and Homelessness (Detroit 3/12) including issues on runaway and homeless youth.

    • HUD issued Equal Access rule (effective 3/5/12) on rights of LGBT people to prevent discrimination on basis of sexual orientation or gender

    • identity in HUD funded programs.

    Opportunities to lean forward
    Opportunities to Lean Forward

    • Your help on three HUD planning related tasks

    • Identify the number of households of PLWH who have a housing need.

    • SUGGEST: Arrange with local Health Dept. to access depersonalized data on CARE beneficiaries who have non-permanent housing situations.

      Consider client viral load (VL) suppression & differences in homeless situations

      Map the # or Community VL by census track or geographic basis

      Targeting tools for future activities

      Dialogue on cross program support for these households

    • 2. Coordinate with area providers in sending HIV housing recommendations to local agencies that manage housing resources.

    • Expand partnerships & understanding on the link of affordable

    • housing & HIV care.

    Slides used courtesy of Moupali Das-Douglas, Priscilla Chu, Glenn-Milo Santos , Eric Vittinghoff, Susan Scheer, Willi McFarland, Grant Colfax , Community Viral Load: Geographic, Clinical and Risk-Related Disparities in a Novel Population-Based Biomarker of HIV Prevention and Treatment, IDSA, 10/31/09

    Hopwa information
    HOPWA Information Glenn-Milo Santos , Eric

    • HOPWA documents, profiles, on-line financial management training, oversight/desk guide and links to webinars & eLearningresources

    • section

    • on the Homelessness Resource Exchange

      • Find a Local HOPWA Project Info

      • Email to [email protected]