SURE Housing Initiative

Supporting Replication (SURE) of Housing Interventions in the RWHAP

Purpose

The purpose of the SURE Housing initiative is to implement and adapt housing-related intervention strategies for three priority populations of people with HIV experiencing unstable housing, who often have the highest HIV-related disparities:

• people how identify as lesbian, gay, bisexual, transgender, and queer or questioning (LGBTQ+)
• youth and young adults (aged 18-24)
• people who have been justice-involved (defined as any person who is engaged at any point along the continuum of the criminal justice system as a defendant including arrest, incarceration, and community supervision)

The goal of this initiative is to promote the replication of effective housing interventions in the RWHAP to decrease health and housing disparities and improve health outcomes along the HIV care continuum. This initiative will engage and retain people with HIV experiencing unstable housing in HIV medical care and support services by addressing their housing and behavioral health needs, as needed.

Implementation Sites

Ten implementation sites are funded under this initiative, and each site has chosen to work with one of the focus populations listed above.

People who have been legal system-involved

• Eastern Oregon Center for Independent Living (EOCIL), Pendleton, OR
• AIDS Foundation Chicago, Chicago, IL
• The Open Door, Pittsburgh, PA
• Big Bend Cares, Tallahassee, FL

People who identify as LGBTQ+

• AIDS Services of Dallas, Dallas, TX
• DAP Health, Palm Springs, CA
• Doorways, St. Louis, MO
• Gay Men's Health Crisis, New York, NY
• CARE Resources Community Health Centers, Miami, FL

Youth and young adults (aged 18-24)

• Orange County Government and Zebra Health, Orlando, FL

Implementation and Technical Assistance Provider (ITAP)

Corporation for Supportive Housing, partnering with Collaborative Solutions. The ITAP provides technical assistance (TA) on implementing the rapid re-housing intervention, including hosting Learning Sessions to support intervention implementation and foster peer-to-peer sharing opportunities.

Evaluation Provider (EP)

Boston University Center for Innovation in Social Work and Health and School of Public Health, partnering with JSI Research & Training Institute, Inc., and University of Massachusetts, Lowell, MA. The EP leads a mixed-methods implementation science evaluation to examine the adaptation and effects of rapid-rehousing for RWHAP clients

Rapid Re-housing Core Components

• Housing navigation to help people experiencing homeless-ness or housing instability secure permanent housing with a lease in their own name.
• Time-limited rental and move-in assistance to defray the cost of move-in expenses and rent/utilities for up to 24 months.
• Housing stability case management to connect participants with resources to help them maintain stable housing; this case management also includes support to connect participants with HIV care and other resources to support their health-related goals.

SURE Housing Key Outcomes