scholarly journals Provider perceptions on HIV risk and prevention services within permanent supportive housing

AIDS Care ◽  
2017 ◽  
Vol 29 (10) ◽  
pp. 1331-1335 ◽  
Author(s):  
Suzanne L. Wenzel ◽  
Benjamin Henwood ◽  
Taylor Harris ◽  
Hailey Winetrobe ◽  
Harmony Rhoades
AIDS Care ◽  
2019 ◽  
Vol 31 (9) ◽  
pp. 1172-1177 ◽  
Author(s):  
Suzanne L. Wenzel ◽  
Harmony Rhoades ◽  
Wichada La Motte-Kerr ◽  
Lei Duan ◽  
Taylor Harris ◽  
...  

AIDS Care ◽  
2016 ◽  
Vol 29 (5) ◽  
pp. 570-574 ◽  
Author(s):  
Suzanne L. Wenzel ◽  
Harmony Rhoades ◽  
Taylor Harris ◽  
Hailey Winetrobe ◽  
Eric Rice ◽  
...  

2016 ◽  
Vol 11 (1) ◽  
pp. 124-137 ◽  
Author(s):  
Benjamin F. Henwood ◽  
Harmony Rhoades ◽  
Hsun-Ta Hsu ◽  
Julie Couture ◽  
Eric Rice ◽  
...  

Permanent supportive housing (PSH) has been recognized by the U.S. federal government as the “clear solution” to chronic homelessness. Whether and how access to PSH affects HIV risk is unclear. This mixed methods pilot study uses a convergent parallel design in order to better understand social relationships and HIV risk during the transition from homelessness to PSH. Findings suggest that (a) Sexual activity and HIV risk behaviors increase with housing, (b) Social network size and composition appear to change as individuals transition into PSH, and (c) There is tension between moving forward and leaving behind the past once a person has housing. This study demonstrates that PSH constitutes a specific risk environment that has not been previously investigated.


2021 ◽  
Vol 693 (1) ◽  
pp. 209-229
Author(s):  
Debra J. Rog ◽  
Kathryn A. Henderson ◽  
Clara A. Wagner ◽  
Emily L. Abbruzzi

Permanent supportive housing for families experiencing homelessness—typically, subsidized housing that is not time limited and provides access to a range of support services—has substantially increased over the past 10 years, despite an absence of rigorous evidence of its effectiveness. We examine the benefits of subsidized housing with supportive services compared to subsidized housing alone. Our findings suggest that supportive housing offers more opportunities for access to services and benefits than subsidized housing alone, but it may not be beneficial to families’ housing stability or to family members’ employment or involvement with the criminal justice system. We argue that housing that is coupled with intensive case management, that is service rich, and that provides and adheres to harm reduction principles may help to strengthen supportive housing’s effectiveness.


2020 ◽  
Vol 4 (1) ◽  
Author(s):  
Anita M Souza ◽  
Jenny Hsin-Chin Tsai ◽  
Kenneth C Pike ◽  
Francesca Martin ◽  
Susan M McCurry

Abstract Background and Objectives Formerly homeless older adults residing in Permanent Supportive Housing (PSH) represent an invisible subsector of two distinct, yet related populations: the homeless population and the elderly population. Little research is focused on the complex health concerns facing this aging population within the homelessness response system. Of particular concern is the identification and support of individuals with cognitive impairment and co-occurring chronic conditions. We collaborated with a leading housing services provider to develop a systematic screening system for case managers to capture the cognitive, physical, and psychosocial health of older adults served within homeless housing programs. Research Design and Methods PSH residents aged ≥50 years in four sites screened as being without cognitive impairment on the Mini-Cog were enrolled. A brief demographic survey and selected PROMIS measures were used to characterize participants’ demographics, cognition, global physical and mental health, physical functioning, self-efficacy for social interactions, and instrumental support. PSH case managers were trained to recruit participants and collect data. PROMIS scales were scored using the Health Measures Scoring Service. Descriptive statistics, correlations, and one sample t-tests were performed. Results Fifty-three residents (mean age = 60.8 years, range 50–76 years) participated. The majority self-identified as male and were military veterans; 60% reported having a history of two or more episodes of homelessness. All PROMIS scores were significantly (p < .05) lower than reference U.S. population means, with global mental health and cognition having the lowest scores. Discussion and Implications Self-reported cognitive functioning and global mental health were residents’ greatest concerns. Strengthening housing case manager capacity to assess residents’ cognitive and health status could increase support for older adults in PSH. It is feasible to train PSH staff to conduct structured interviews to identify resident cognitive and health needs to help support this “invisible” population to successfully age in place.


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