SYNChronicity - Federal Panel Remarks April 20, 2012

David Vos, Director, Office of HIV/AIDS Housing

Meaningful Dialogue: on Housing & Health

Housing: Investing in the FutureHousing 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 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

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 FutureU.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

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 UpdatesOneCPD 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 UpdatesNew 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 Your help on three HUD planning related tasks

1. 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 situationsMap the # or Community VL by census track or geographic basisTargeting 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.

3. 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 documents, profiles, on-line financial management training, oversight/desk guide and links to webinars & eLearning resources

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

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