Two of the sites (RRHS and PHB) are also participating in a HRSA Special Project of National Significance (SPNS) that addresses the coordination of housing and HIV care. However, in those programs, the sites are working with client populations that are more medically needy than the IHHP clients and less likely to become employed and mainstreamed into public housing. In Florida, RRHS and its partner, Ability Housing, are working with the University of Florida CARES medical clinic, which is developing a medical home for people who are HIV positive or at high risk of HIV and who are homeless or in an unstable housing situation. UF CARES medical case managers refer their clients to RRHS for housing assistance, but do not fund housing services. An RRHS evaluator is assessing the interplay between the IHHP and HRSA SPNS projects in that site.
In Oregon, PHB’s partner, the Multnomah County Health Department (MCHD) also manages a HRSA SPNS site. That program connects homeless, multiply-diagnosed PLWHA with substance use disorders and/or mental illness to care through a medical home model. MCHD contracts with CAP, which has three network navigators who are part of the medical team at clinic and spend time at CAP. The navigators accompany participants to medical appointments and address any barriers to housing. The project does not focus on employment; its goals include getting participants into permanent housing, into appropriate mental health and substance abuse treatment, and into routine (non-emergency, non-acute) medical care.