Analysis of Integrated HIV Housing and Care Services. 1. Services Provided

02/01/2014

RWP is the largest federal program targeting core medical and support services specifically to PLWHA and their families. According to RDR, in 2010, RWP provided services to 556,175 people (including HIV-negative family members), of which 18,904 received housing assistance (Appendix A and Appendix F).17

Relatively few (3.4 percent) RWP clients received RWP-funded housing assistance in 2010.18 This proportion remained fairly steady between 2007 and 2010, with no significant change in the percentage of HIV-positive/indeterminate clients receiving housing assistance.19 In contrast, 57 percent of all RWP clients received outpatient ambulatory medical care, and 53 percent received medical case management services (Figure II.5). About 6 percent of RWP clients received some type of emergency financial assistance, which in some cases may have been used for short-term housing-related costs such as rent or utilities. Note that some unknown percentage of clients served by RWP also received housing assistance through HOPWA.


Figure II.5. Number of Ryan White Program Clients Served, by Type of Selected Service

Figure II.5. Number of Ryan White Program Clients Served, by Type of Selected Service

Source:       HRSA Ryan White Program Services Report, 2010.


In 2010, HOPWA provided housing assistance to 61,268 households.20 There is no unduplicated count of the total number of HOPWA households who received assistance other than housing.  Figure II.6 illustrates that of the 61,268 HOPWA households that received housing assistance in 2010, most (45 percent) received STRMU, the least expensive form of assistance (Table II.2), and 31 percent received TBRA, which makes up the largest percentage of HOPWA housing expenditures (Figure II.6).


Figure II.6. Distribution of HOPWA Housing Assistance Households, by Type of Assistance

Figure II.6. Distribution of HOPWA Housing Assistance Households, by Type of Assistance

Source:       HUD HOPWA CAPER and APR data, 2010.


17 This does not include households receiving Emergency Financial Assistance provided for housing-related costs. Housing services specifically include short-term emergency, temporary, and transitional housing assistance services to help participants access or remain in medical care, and housing referral services, including housing assessment, search, placement, and advocacy services, plus associated housing fees.

18 No more than 25 percent of Ryan White Funds can be used for support services, which include housing.  There is an option for grantees to apply for a waiver of this spending requirement.

19 Comparison of 2007-2010 data was done using RDR data, which is not unduplicated across programs.

20 This does not include households receiving housing placement services.

 

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