Analysis of Integrated HIV Housing and Care Services. 5. Factors Affecting Program Enrollment

02/01/2014

Not all four sites chosen for in-depth study have currently met their enrollment targets (Table III.1). PHB’s S4H project was fully enrolled early on, aided by the Cascade AIDS Project’s (CAP) preexisting waiting list for other housing resources. In contrast, the other IHHP sites identified some challenges reaching and enrolling their clients. Although FUSE is fully enrolled, not all participants come from the program’s target population of women and their families. To fill the gap, RRHS has enrolled some people from other target groups. CARES reported several issues that have slowed program implementation and recruitment, including setup and administrative burden. After sensing some reluctance among local service providers and case managers to refer clients to employment services, staff conducted two days of employment orientation to shift their thinking about the value of employment for PLWHA.

Despite having enrolled 90 clients, FPC encountered a number of enrollment barriers, including finding clients that qualify for mainstream housing assistance through FPC’s four public housing authority partners; finding clients willing to leave their existing housing to move into public housing in another community; and ensuring that they are not initiating leases for IHHP clients that will not be able to sustain independent living when the IHHP grant ends. FPC staff felt that there have also been missed enrollment opportunities in other parts of the state, as not all AIDS service organizations are using the FPC screening/eligibility tool effectively, and statewide uptake of the tool has been slow. FPC also described difficulties serving the state’s refugee population with HIV/AIDS, as Maine will not provide Medicaid to immigrants who have lived in the United States for less than five years. Finally, the limited availability of rental housing across the state has made it harder for FPC to move eligible clients into the IHHP program.

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