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301843
Analysis of Integrated HIV Housing and Care Services
Tuesday, November 18, 2014
Adelle Simmons, M.P.A.
,
ASPE OFFICE OF HEALTH POLICY, US DEPARTMENT OF HEALTH AND HUMAN SERVICES, WASHINGTON, DC
Margaret Hargreaves, PhD, MPP
,
Health Division, Mathematica Policy Reseach, Cambridge, MA
A study funded by the U.S. Department of Health and Human Services (HHS) Office of the Assistant Secretary for Planning and Evaluation (ASPE) identified examples of trans-disciplinary collaborations to tackle housing instability that can impact access and continuity of care among people living with HIV/AIDS (PLWHA). The two main sources of federal housing assistance targeted specifically to PLWHA are the Housing Opportunities for Persons With AIDS program (HOPWA), provided through the U.S. Department of Housing and Urban Development; and the Ryan White HIV/AIDS Program, administered by the HHS Health Resources and Services Administration. The ASPE study analyzed federal HIV housing assistance services and best practices integrating HIV housing and health care services. The analysis included a quantitative study of the costs, utilization, and outcomes of current federal HIV housing assistance services and a qualitative study of innovative programs integrating housing assistance with HIV care at three levels: individual client services, organizational data systems, and community-level planning processes. The study findings indicate that program components that facilitate service integration at different levels include (1) in-depth screening of clients’ housing, health care, and other support service needs at intake; (2) development of individualized care plans for program clients tailored to their circumstances; and (3) frequent in-person contact between housing coordinators, peer specialists, and clients and their medical providers and medical case managers. One major challenge was data systems, which could benefit from enhancements to allow better linkage of the programs’ databases to enable monitoring of clients’ outcomes.
Learning Areas:
Program planning
Learning Objectives:
Name examples of collaborations that integrate housing and care services for people living with HIV, and describe elements that facilitate coordination of HIV housing and health care services.
Keyword(s): HIV/AIDS, Special Populations
Presenting author's disclosure statement:Qualified on the content I am responsible for because: I have been the principal of multiple federally funded policy research projects focusing on HIV, chronic disease management, and service delivery. Among my interests has been the development of strategies for improving HIV prevention programs and access to care.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines,
and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed
in my presentation.
