Enhanced Housing Placement Assistance

New York City Department of Health and Mental Hygiene236 enrolled

Overview

Randomized controlled trial of housing placement assistance for homeless persons with HIV

Approximately 800 persons living with HIV/AIDS (PLWHA) reside in HIV emergency single-room-occupancy (SRO) hotels in New York City and do not have the ability to secure permanent housing on their own. The study evaluated a pilot program which fast-tracked PLWHA from HIV emergency SRO hotels into permanent housing. The Enhanced Housing Placement Assistance (EHPA) program had three components: 1) active recruitment of emergency SRO hotel residents with high need for housing; 2) assistance in the rapid (fast-track) acquisition of permanent housing; and 3) participation in a 12-month support services program designed to prevent PLWHA from relapsing into homelessness, with services focused on increasing clients' capacity to live independently and maintain housing stability. Participants were randomly assigned to either 1) EHPA or 2) usual care, which included standard connections to services and housing programs offered by the New York City HIV/AIDS Services Administration (HASA), Housing Opportunities for Persons With AIDS (HOPWA), or Ryan White services, and were followed over twelve months using a questionnaire developed with significant input from the target population of PLWHA residing in emergency SRO hotels.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Enrollment

236

Conditions

HIV/AIDS Housing Problems

Interventions

Enhanced housing placement assistanceOTHER

assistance in the rapid (fast-track) acquisition of permanent housing; and participation in a 12-month support services program designed to prevent PLWHA from relapsing into homelessness, with services focused on increasing clients' capacity to live independently and maintain housing stability

Standard housing placement assistanceOTHER

standard connections to services and housing programs offered by HASA, HOPWA, or Ryan White

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Person living with HIV in New York City * Residing in an New York City HASA single-adult single-room-occupancy (SRO) hotel Exclusion Criteria: * Inability to provide informed consent * Inability to complete survey in English or Spanish

Outcomes

Primary Outcomes

Number of Participants With Placement in Permanent Housing

supportive housing, rental assistance, other non-emergency housing, etc.

Time frame: 12 months post-enrollment

Secondary Outcomes

Number of Participants With Engagement in HIV Care

any reported HIV viral load (VL) or CD4 test

Time frame: 12 months post-enrollment

Number of Participants With HIV Viral Suppression

Last viral load is under 200 copies/mL

Time frame: 12 months post-enrollment

Data from ClinicalTrials.gov

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