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U.S. Department of Health and Human Services: Improving HIV Health Outcomes through the Coordination of Supportive Employment and Housing Services — Demonstration Sites

Deadline: July 24, 2017

The Improving HIV Health Outcomes through the Coordination of Supportive Employment and Housing Services—Demonstration Sites (Improving HIV Health Outcomes) Initiative seeks to support the design, implementation, and evaluation of innovative interventions that coordinate HIV care and treatment, housing, and employment services to improve HIV health outcomes for low-income, uninsured, and underinsured people living with HIV (PLWH) in racial and ethnic minority communities.

The Improving HIV Health Outcomes Initiative will support project components that either create a new or augment an existing coordinated services intervention that integrates HIV care, housing, and employment services. The overall goal of this coordinated services intervention is to decrease the impact of the social determinants of health (such as unmet housing or employment needs) that affect long-term HIV health outcomes for PLWH impacted by employment and housing instability in racial and ethnic minority communities.

To achieve this coordinated services model, the initiative may support Ryan White HIV/AIDS Program (RWHAP) core medical and support services that augment existing resources as well as the infrastructure supports needed to engage PLWH in housing and employment services. The award cannot supplant existing funding or service systems. Additionally because employment and permanent supportive housing services are not allowable RWHAP service categories, the award may not support these services directly. Proposed interventions may include but are not limited to the following examples:

  • Hiring dedicated staff or re-organizing staff to coordinate housing, health care, and employment services for clients (e.g., care coordinators, coordinated case management, enhanced peer navigation services, etc.)
  • Increasing the efficiency of referral process and collaboration between HIV care, housing service, and employment providers through data sharing, co-located services, and/or cross-training
  • Streamlining intake and assessment forms across programs to increase efficiencies to better identify unmet needs and coordinate services for clients seeking housing, employment, and HIV care services
  • Dedicating staff for mobile support teams to assess and coordinate HIV care, employment, and housing needs of PLWH experiencing homelessness and who are at risk for poor health, employment, and housing outcomes
  • Expanding IT capacity to support the coordination of HIV care, employment, and housing services
  • Augmenting existing coordinated HIV care, employment, and housing systems to include support services
  • Developing a jurisdictional approach by assigning a staff person at the Department of Health responsibilities for coordinating and developing referral processes for the RWHAP program and leveraging employment and the Housing Opportunity for Persons with AIDS Program (HOPWA) housing services
  • Engaging HOPWA-funded transitional housing supports for RWHAP clients who are involved in education or employment opportunities
  • Working across programs to find clients who are no longer engaged in care due to housing and employment insecurity, and utilizing existing systems to re-engage the client in care while promoting long-term retention through housing support and employment services

Amount: A total of $3,000,000 is available to make up to 10 grants of up to $300,000 each per year for three years.

Eligibility: Entities eligible for funding under Parts A – D of Title XXVI of the Public Health Service Act as amended by the Ryan White HIV/AIDS Treatment Extension Act of 2009, including public health departments and institutions of higher education, state and local governments, nonprofit organizations, faith-based and community-based organizations, tribes, and tribal organizations. If applicants are not dually-funded, they must partner with their respective local provider of RWHAP and/or HOPWA services.

The project period for this award is three years; therefore, successful applicants must be able to implement the integrated program intervention quickly. In order to accommodate the accelerated timeline and ensure sustainability, current dually-funded RWHAP and HOPWA award recipients are encouraged to apply. Entities funded solely through HOPWA or RWHAP with demonstrated commitment and ability to leverage HIV care services from RWHAP or housing services through the HOPWA program are also encouraged to apply.

Link: https://www.grants.gov/web/grants/view-opportunity.html?oppId=294068

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