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Description:The HRSA Homeless Initiative was part of a national multisite intervention project in nine geographically diverse U.S. sites designed to reduce barriers to HIV care, address unmet needs in housing, and reduce perceived external stigma among people with HIV (PWH) who were homeless or unstably housed and diagnosed with mental health and/or substance use disorders. This structural-level intervention utilized care coordinators and navigators to improve timely entry, engagement, and retention in HIV care and supportive services; build and maintain sustainable linkages to mental health and/or substance use treatment, and HIV primary care; increase access to stable or permanent housing; and create a patientcentered medical home (PCMH). Core components of the intervention included: (1) having navigators or care coordinators provide client-centered care, (2) offering expedited access and linkage to comprehensive HIV care and services, (3) providing behavioral health and primary HIV medical care, and (4) establishing or strengthening partnerships with housing providers (e.g., property managers) to enable access to stable housing. In addition, each site developed components to address its local needs based on health care, housing availability, and support services.
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