Enhanced Housing Placement Assistance

Study Overview
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Brief Summary
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Randomized controlled trial of housing placement assistance for homeless persons with HIV

Detailed Description
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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.

Official Title
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An Enhanced Housing Placement Assistance (EHPA) Program for Homeless Persons Living With HIV/AIDS in New York City

Conditions
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HIV/AIDS, Housing Problems

Intervention / Treatment
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* Other: Enhanced housing placement assistance
* Other: Standard housing placement assistance


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: randomized controlled trial
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Enhanced housing placement assistance<br> | Other: Enhanced housing placement assistance<br>* 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<br>|
| Active Comparator: Standard housing placement assistance<br> | Other: Standard housing placement assistance<br>* standard connections to services and housing programs offered by HASA, HOPWA, or Ryan White<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of Participants With Placement in Permanent Housing | supportive housing, rental assistance, other non-emergency housing, etc. | 12 months post-enrollment | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of Participants With Engagement in HIV Care | any reported HIV viral load (VL) or CD4 test | 12 months post-enrollment | 
| Number of Participants With HIV Viral Suppression | Last viral load is under 200 copies/mL | 12 months post-enrollment | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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HIV, housing, homelessness