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News Article updated on 10/01/2021
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Peer Engagement to Improve Linkage to Care and Retention in Care for Women and Youth
University Health uses peers and patient navigators to provide support, reduce barriers, and improve linkage and retention to care for women and youth with HIV. Two peers with lived experience were hired as Outreach Specialists to spearhead the program, encourage medication adherence and use of services, and provide mentoring. The intervention was successful in moderately improving the numbers of clients linked to care, retained in care, and virally suppressed.Resource from the RWHAP Best Practices Compilation updated on 11/14/2023
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City of Pasadena: Operation Link
Short-term intensive case management services to link clients to housing, employment, and health care services provided by a team comprised of a Peer Care Navigator, Housing Navigator, and an Employment Navigator.Resource updated 09/14/2023
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City of Paterson: Coordination of Supportive Employment and Housing Services
Smart Care Management data-driven/IT model (e.g., patient portal, real-time dashboard for agencies) to enhance utilization of existing health, housing, and employment services.Resource updated 09/14/2023
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Family Health Centers of San Diego: Coordinated Services Integration Intervention
Coordination of health care with housing and employment services through regular meetings, formal agreements, and a Linkage Coordinator.Resource updated 09/14/2023
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Fenway Health: Housing & Employment Project
Partnership between employment services and Ryan White HIV/AIDS Program providers to foster case coordination among medical care and social service providers, including a screening and referral system for housing and employment needs and services individualized for specific patient needs.Resource updated 09/14/2023
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GMHC: Project HEALTH
Care coordination to link clients to services by assessing client needs, barriers, and stages of change, guided by electronic health records and a modified stages of change tool used to assess housing & employment stages of change.Resource updated 09/14/2023
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Positive Impact Health Centers: H.O.M.E.S.
Housing first model to help people with HIV address their housing instability while working towards obtaining employment and maintaining consistent medical care. Every patient completes an individual service plan, developed in partnership with their case manager.Resource updated 09/14/2023
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PRC: Integrative Health Analysis
Clients are enrolled into a low barrier program that provides immediate and critical housing crisis intervention, including in-housing employment services and ongoing intervention services to secure permanent housing and maintain access to HIV primary care.Resource updated 09/14/2023
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Bexar County: The CASE Management Initiative
Coordination of client services for six months and transitioning clients to the jurisdiction's case management system after completion of the program. Acuity scores determine clients’ case management paths.Resource updated 09/14/2023
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Yale, Liberty Community Services: Project HERO
Housing and employment services include a Job Club to provide a supportive environment and training for participants.Resource updated 09/14/2023
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HIV, Housing & Employment Project Demonstration Sites
Follow the links below to access intervention manuals, summaries, and other intervention resources from the participating demonstration sites.
Organization updated 04/02/2024
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About the HIV, Housing & Employment Project
Documentation of the overall project over its course with a focus on evaluation and technical assistance.Organization updated 09/14/2023
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Initiative Products and Resources
Webinars and briefs on delivery of HIV care to persons with unstable housing.Resource updated 09/14/2023
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Leveraging Collaboration between the RWHAP and Aging Agencies: Enhancing Support Services for Older Adults with HIV
This HRSA’s HIV/AIDS Bureau (HAB) webinar, in collaboration with Administration for Community Living (ACL), featured presenters from ACL and USAging.Resource updated 01/26/2022
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HRSA Funding Opportunities: Improving Health Outcomes for People Aging with HIV
From HRSA's HIV/AIDS Bureau
News Article updated on 10/28/2021 -
Needs Assessment Tool Series: Focus Groups
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HRSA Releases New Fact Sheets on RWHAP Clients
Ten fact sheets on client populations getting care from the Ryan White HIV/AIDS Program (RWHAP) a
News Article updated on 06/30/2021 -
Identifying and Incorporating into Practice Screening Tools for People with HIV who are Aging in the Ryan White HIV/AIDS Program
This HRSA HIV/AIDS Bureau national webinar featured two Ryan White HIV/AIDS Program (RWHAP) providers.
Resource updated 06/09/2022
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Medical Monitoring Project 2019-2020 Data on HIV Care Access and Health Outcomes
In the U.S., almost all people with HIV have some type of health insurance coverage (pub
News Article updated on 08/09/2021