Toronto HIV/AIDS Network â Housing Working Group - Fife House

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Toronto HIV/AIDS Network – Housing Working GroupIssues/Challenges• Systemic stigma – not used to servicing PHAs• Hospitals don’t want long term – cost of meds• Care is costly – meds and monthly services• Stigma – people fear going into facilities• Access to specialists – not available, not timely, timelyassessment of cognition• Service providers don’t have cross-specialty training• No one has aged with HIV before• Care provider burden – marginalization, homelessness,drug/alcohol use• Capacity – knowledge and case load• Consent capacity and decision making• Recognizing HIV related dementia• PHAs aging younger – can’t access senior services – tooyoung• When clients don’t fit the model – too little flexibility insystem – doors are closed• Burden on staff and community supports• Not sustainable• Cultural issues – finding out HIV+ status as part of refugeeprocess• Housing not stable – precariously housed• Funding restrictions• Health fluctuates so quickly• Ongoing monitoringCurrent Responses• Black CAP long term group• Addictions Supportive Housing – as a model• Eviction prevention – models that housing funders areusingReport of the Community Roundtable on HIV, Housing, Aging, Complex Care & Cognitive Issues Appendix III – Page 2
Toronto HIV/AIDS Network – Housing Working GroupIssues/Challenges• Climate of no money - targeted money from funders• Aging – long term trauma and losses• Peer support groups can be seen as preventative – NAcoordinated• Focus on losses inherent for PHAs in these complexsituations/counseling/peer support• Financial situations – trapped in limitations of disabilityincome and can’t work• Identity – how can people resume more meaningfulengagement in their communities – volunteers/facilitatorroles• Neighbourhood support – lacking• Lack of geriatric knowledge across the board particularlywith HIV• HIV historically serviced in the HIV sector – need to link• Internalized stigma within HIV sector – race, religion, druguse, orientation, mental health, ageCurrent ResponsesReport of the Community Roundtable on HIV, Housing, Aging, Complex Care & Cognitive Issues Appendix III – Page 3
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Toronto HIV/AIDS Network â Housing Working Group - Fife House

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Toronto HIV/AIDS Network â Housing Working Group - Fife House