Oregon Balance of State HIV/AIDS Housing & Services Systems ...

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46 Oregon HIV/AIDS Housing and Services Systems Integration Plan grant targeted to serve 55 individuals released from incarceration, through a coordinated effort of OHOP, the Department of Corrections, and an array of other partners. 13. Lack of Housing Options Offenders living with HIV/AIDS face challenges related to their criminal histories as well as their health diagnoses. They are screened out of public and private housing by background checks, and can find it difficult to transition to mainstream housing assistance programs such as Section 8 from the OHOP program. 14. Multiple Risk Factors Poverty, credit problems, substance abuse and mental illness are common among prison inmates, and may be magnified by their chronic health condition(s). Debts both related and unrelated to convictions climb while a person is incarcerated and in treatment, which may be required by the justice system. Housing and family situations are disrupted and may be difficult or impossible to reestablish. Such risk factors translate into high service needs – and gaps in receiving services – when prisoners return to the community. Primary Care, Hospitals and Assisted Living 15. Lack of Research and Resources for People Living with HIV/AIDS Steering Committee members identified a need for more assisted living and long-term care options (including in-home assistance) for people living longer with HIV, and those suffering from chronic diseases like diabetes, which provider observation suggests emerge earlier and more frequently among people with HIV than in the general population. The lack of research in the arena of chronic diseases among people living with HIV/AIDS limits the care a patient has access to. For example, when screening or preventative measures exist, insurance may not fund those measures for people with AIDS if they lack other risk factors. 16. Additional Housing Challenges Holding housing units and maintaining housing assistance as people cycle in and out of assisted living situations can be difficult, and can require modifications to rules and incur additional administrative costs. People with chronic diseases may need additional accommodations within their living units, or may need to live closer to health providers, limiting their ability to move or choose among housing options. Moreover, traditional assisted-living environments for elderly people may not be a good fit for younger (middle-aged) people living with HIV/AIDS. The difficulty of placing clients in assisted living is broader than the HIV/AIDS population but is a challenge statewide. Employment 17. Limited Coordination Among Employment, Service, and Housing Systems Additional coordination and improved awareness of service needs and available resources are needed between AIDS and employment service systems. Typically, employment centers (such as One Stop Centers established under the federal Workforce Investment Act) are evaluated based on number of successful job placements and similar measures. This may discourage them from serving clients with the multiple challenges that people living with HIV/AIDS may have (including gaps in
Oregon HIV/AIDS Housing and Services Systems Integration Plan 47 work history or absences from work due to health issues), and from providing the ongoing employment support that they need to retain these jobs. Differences in agency missions and cultures among the systems as pertains to employment can contribute to poor coordination. Health, human services, and homelessness services providers may not prioritize work and self-sufficiency as much as mainstream affordable housing providers typically do, adding complexity to partnerships among these systems.
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