Analysis of Integrated HIV Housing and Care Services. F. Housing Outcomes

02/01/2014

Unlike RWP, which does not report the housing outcomes of program clients, HOPWA grantees do report on a number of outcomes. In 2010, reported outcomes included the household’s housing status at program exit and their access to care (defined as their connection to medical care and other types of support). At program exit, more than four-fifths (80 percent) of HOPWA households were successfully connected to housing, case management, primary care, medical insurance, or income sources (Table II.3).


Table II.3. Percentage of HOPWA Households Receiving Housing Assistance Who Achieved Outcomes

Outcome Percentage of Total Participants
Has a housing plan for maintaining or establishing ongoing housing 93
Has contact with a case manager as specified in individual service plan 91
Had contact with a primary health care provider 87
Has access and can maintain medical insurance/assistance 86
Successfully accessed or maintained income 8

Source:       HUD HOPWA CAPER and APR, 2010.


In 2010, only 6 percent of all HOPWA households receiving housing assistance exited to an unstable situation, defined as an “emergency shelter, jail, prison, disconnected, or unknown.” This proportion of unstable housing exits remained steady between 2007 and 2010). Three of the four types of housing assistance services have had relatively low rates of unstable housing exit (less than 5 percent); however, four times the percentage (20 percent) of the households residing in transitional/short-term facilities exited to unstable housing (1,415 households) (Figure II.12.)


Figure II.12. Exits to Unstable Housing, by Type of Housing Assistance

Figure II.12. Exits to Unstable Housing, by Type of Housing Assistance

Source:       HOPWA CAPER and APR, 2010.


The percentage of HOPWA households exiting to unstable housing varied widely across states, with one state (New Mexico) having no such exits in 2010 (Appendix K). Only four (California, Florida, Idaho, and South Carolina) had a percentage higher than 10 percent, with the highest (South Carolina) being 20 percent. Across states, HOPWA households also varied in their connection to primary care at exit, with a range of 13 to 100 percent (Appendix K). In eight states, 100 percent of HOPWA households reported having had contact with a primary care physician at program exit.28


28 Two states (New Jersey and Wyoming) had more than 100 percent because they reported more people receiving an outcome than total people.

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