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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
  • 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