2011 National HIV Prevention Conference. Plenaries. Sunday.

1. HIV & Housing: The Urgency of Now
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

2. 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.

3. 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

4. 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

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8. 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

9. HOPWA: Investing in the Future
The 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.

10. 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

11. HOPWA Information
HOPWA links to documents, profiles, financial
management training, oversight / desk guide
and eLearning resources
www.HUDHRE.info/HOPWA section
on the Homelessness Resource Exchange
• Find a Local HOPWA Project Info
• Email to HOPWA@hud.gov

12. 30 years