Ryan White HIV/AIDS Program - State Profiles U.S. Department of Health and Human Services: Health Resources and Services Administration Ryan White HIV/AIDS Program

The United StatesState Overview


The following section provides information for the entire population of The United States in 2012.

Population Size1

The estimated population of The United States in 2012 was 313,914,040

Estimated Percent of The United States Population in 2012 by Household Income Level2

Organizations Receiving Ryan White HIV/AIDS Program Funding, by Part
Estimated Percent of The United States Population in 2012 by Household Income Level2
Household Income Level Percent
Below 100% of the Federal Poverty Level (FPL) 15.0
Between 100-199% of the FPL 19.3
Between 200-299% of the FPL 16.8
300% of the FPL and Above 49.0

Estimated Percent of The United States Population in 2012 by Health Insurance Coverage Type3

Estimated Percent of Population by Health Insurance Coverage Type
Estimated Percent of The United States Population in 2012 by Health Insurance Coverage Type3
Health Insurance Coverage Type Percent
Private 63.9
Private Only 52.0
Medicaid 16.4
Medicaid Only 11.3
Medicare 15.7
Medicare Only 5.4
Other Public 32.6
Public Only 20.7
Multiple Types 11.9
Uninsured 15.4

NOTE: It is possible to be covered by more than one type of health insurance.

Population Living with an HIV Infection4

The estimated adult and adolescent population living with diagnosed HIV infection, regardless of stage of disease in The United States in 2011 was 888,921.

Note: As of the publication of the 2012 State Profiles, the 2012 surveillance data for HIV infection were not available.

New Diagnosis of HIV Infection4

The estimated number of adults and adolescents newly diagnosed with HIV infection in The United States in 2011 was 50,199. The term "diagnosis of HIV infection" is defined as a new diagnosis of HIV infection regardless of the stage of disease.

Note: As of the publication of the 2012 State Profiles, the 2012 surveillance data for HIV infection were not available.

The United StatesRyan White HIV/AIDS Program Grantee and Provider Characteristics5

The following section provides information for Ryan White HIV/AIDS Program grantees and providers in The United States in 2012. Visit the HIV/AIDS Bureau’s website for a list of grantees by Program Part.

ADAP clients are not included in the data in this section.

 

Ryan White HIV/AIDS Program Grantees and Providers in The United States in 2012 by Program Part*

Grantees and Providers by Program Part Grantees and Providers by Program Part
Ryan White HIV/AIDS Program Grantees and Providers in The United States in 2012 by Program Part*
Program Number of Grantees Number of Providers
Part A 53 1,061
Part B 53 923
Part C 358 454
Part D 200 299
SPNS 40
AETC 16
Oral Health 56

Note: 682 Provider(s) received funding from multiple Program Parts.

Ryan White HIV/AIDS Program Funding Received by Grantees in The United States in 2012

Ryan White HIV/AIDS Program Funding Received by Grantees
 
Ryan White HIV/AIDS Program Funding Received by Grantees in The United States in 2012
Program Fiscal Year 2012
Eligible Metropolitan Areas TGA/Transitional Grant Areas (EMAs/TGAs): Part A $587,191,632
States and Territories: Part B $346,518,803
AIDS Drug Assistance Program (ADAP): Part B $943,291,026
Emerging Communities: Part B $5,000,000
Early Intervention Services: Part C $199,448,417
Capacity Building: Part C $1,157,387
Women, Infants, Children, Youth, Families: Part D $68,583,529
Oral Health Programs: Part F $12,802,697
AIDS Education and Training Centers Program (AETC): Part F $21,749,775
Minority AIDS Initiative (MAI): Part A $50,311,367
Minority AIDS Initiative (MAI): Part B $10,234,501
Minority AIDS Initiative (MAI) AIDS Education and Training Centers (AETC) $8,943,942
Special Projects of National Significance (SPNS): Part F $19,114,061
Total $2,274,347,137

Note: The Minority AIDS Initiative (MAI) provides funding to evaluate and address the disproportionate impact of HIV/AIDS on African-Americans and other racial/ethnic minorities. MAI funding from Parts C and D are included in Part C and D totals. States with no direct AETC funding are covered by an AETC local performance site. ADAP funding includes ADAP formula, supplemental, and emergency relief funds.

Ryan White HIV/AIDS Program Service Providers in The United States in 2012 by Type

Ryan White HIV/AIDS Program Service Providers by Type
Ryan White HIV/AIDS Program Service Providers in The United States in 2012 by Type
Types of Organizations Number Percent
Hospitals 349 19.1
Community & Mental Health Centers 240 13.1
Community-based Organizations 752 41.2
Health Departments 243 13.3
Other 243 13.3
Total Number 1,827

The United StatesRyan White HIV/AIDS Program Client Characteristics5

The following section provides demographic and health-related information on all Ryan White HIV/AIDS Program clients in The United States in 2012.

ADAP clients are not included in the data in this section.

Ryan White HIV/AIDS Program Number of Clients Served

The estimated number of clients served by Ryan White HIV/AIDS Program providers in The United States in 2012 was 536,219.

Note: Nationally, 2,263 clients were seen in more than one state.

Ryan White HIV/AIDS Program Clients in The United States in 2012 by Gender

Organizations Receiving Ryan White HIV/AIDS Program Funding, by Part
Ryan White HIV/AIDS Program Clients in The United States in 2012 by Gender
Gender Number Percent
Male 375,267 70.0
Female 155,752 29.1
Transgender* 5,027 < 1
Total 536,046

Note: Gender was not reported for 173 client(s) (< 1%).

*Very few people self-identify with this group. Transgender is an individual whose gender identity is not congruent with his or her biological gender, regardless of the status of surgical and hormonal gender reassignment processes. Sometimes the term is used as an umbrella term encompassing transsexuals, transvestites, cross-dressers, and others. The term transgender refers to a continuum of gender expressions, identities, and roles, which expand the current dominant cultural values of what it means to be male or female.

Ryan White HIV/AIDS Program Clients in The United States in 2012 by Race/Ethnicity

Client Characteristics by Race/Ethnicity
Ryan White HIV/AIDS Program Clients in The United States in 2012 by Race/Ethnicity
Race/Ethnicity Number Percent
White (not Hispanic) 144,245 27.4
Black or African-American (not Hispanic) 245,828 46.7
Hispanic 119,676 22.7
Asian (not Hispanic) 5,687 1.1
Native Hawaiian/Pacific Islander (not Hispanic) 941 < 1
American Indian/Alaska Native (not Hispanic) 2,645 < 1
Multi-racial (not Hispanic) 7,224 1.4
Total 526,246

Note: Race/Ethnicity was not reported for 9,973 client(s) (1.9%).

Ryan White HIV/AIDS Program Clients in The United States in 2012 by Age

Organizations Receiving Ryan White HIV/AIDS Program Funding, by Part
Ryan White HIV/AIDS Program Clients in The United States in 2012 by Age
Age Number Percent
Under 2 3,469 < 1
2 - 12 5,012 < 1
13 - 24 32,465 6.1
25 - 44 207,030 38.6
45 - 64 269,278 50.2
65 and Above 18,946 3.5
Total 536,200

Note: Age was not reported for 19 client(s) (< 1%).

Ryan White HIV/AIDS Program Clients in The United States in 2012 by Health Insurance Coverage Type

Organizations Receiving Ryan White HIV/AIDS Program Funding, by Part
Ryan White HIV/AIDS Program Clients in The United States in 2012 by Health Insurance Coverage Type
Health Insurance Type Number Percent
Private 86,517 17.3
Private Only 64,947 13.0
Medicaid 183,377 36.7
Medicaid Only 130,062 26.0
Medicare 91,354 18.3
Medicare Only 44,293 8.9
Other Public 60,959 12.2
Other Public Only 41,381 8.3
Other 19,256 3.9
Other Only 9,100 1.8
Multiple Types 72,173 14.4
Uninsured 188,337 37.7
Uninsured Only 137,761 27.6
Total 499,717

Note: Health Insurance was not reported for 36,502 client(s) (6.8%).

Ryan White HIV/AIDS Program Clients in The United States in 2012 by HIV/AIDS Status

Organizations Receiving Ryan White HIV/AIDS Program Funding, by Part
Ryan White HIV/AIDS Program Clients in The United States in 2012 by HIV/AIDS Status
HIV/AIDS Status Number Percent
HIV-positive not AIDS 237,821 45.3
HIV-positive, AIDS Status Unknown 44,708 8.5
CDC-defined AIDS 228,368 43.5
HIV Indeterminant (Infants Only) 2,652 < 1
HIV-negative 11,285 2.2
Total 524,834

Note: HIV/AIDS Status was not reported for 11,385 client(s) (2.1%).

Ryan White HIV/AIDS Program Clients in The United States in 2012 by Household Income as a Percentage of the Federal Poverty Level

Organizations Receiving Ryan White HIV/AIDS Program Funding, by Part
Ryan White HIV/AIDS Program Clients in The United States in 2012 by Household Income as a Percentage of the Federal Poverty Level
Household Income Level Number Percent
Below 100% of the FPL 322,347 66.7
Between 101-200% of the FPL 105,421 21.8
Between 201-300% of the FPL 32,398 6.7
Above 300% of the FPL 22,885 4.7
Total 483,051  

Note: Household income was not reported for 53,168 client(s) (9.9%).

Ryan White HIV/AIDS Program Clients in The United States in 2012 by Housing Status***

Organizations Receiving Ryan White HIV/AIDS Program Funding, by Part
Ryan White HIV/AIDS Program Clients in The United States in 2012 by Housing Status***
Housing Status Number Percent
Unstable Housing 19,702 4.1
Stable/Permanent Housing 403,976 83.1
Temporary Housing 62,468 12.8
Total 486,146

Note: Housing status was not reported for 50,073 client(s) (9.3%).

The United StatesRyan White HIV/AIDS Program Services Received5

The following section provides information on the services received by all Ryan White HIV/AIDS Program clients in The United States in 2012.

ADAP clients are not included in the data in this section.

Ryan White HIV/AIDS Program Clients Receiving a Core Medical Service in The United States in 2012 by Service Type

Clients Receiving Core Medical Service by Service Type
 
Ryan White HIV/AIDS Program Clients Receiving a Core Medical Service in The United States in 2012 by Service Type
Core Medical Services Number of Clients Percent of All Clients Median Visits Per Client Total Visits
Outpatient Ambulatory Care 325,151 60.6 4.0 1,848,221
Medical Case Management 291,387 54.3 5.0 3,037,029
Oral Health Care 90,339 16.8 2.0 322,459
Mental Health Services 75,169 14.0 2.0 484,101
Medical Nutrition Care 43,765 8.2 1.0 149,963
Outpatient Substance Abuse Treatment 23,216 4.3 2.0 294,461
Early Intervention Services 14,704 2.7 2.0 87,010
Home & Community-based Services 2,058 < 1 10.0 49,748
Home Health Care 894 < 1 4.0 11,957
Hospice Care 130 < 1 8.0 5,706

Note: Clients may receive more than one service. Only top 10 Core Medical Services for the US are shown.

Ryan White HIV/AIDS Program Clients Receiving a Support Service in The United States in 2012 by Service Type

Clients Receiving A Support Service by Service Type
-
Ryan White HIV/AIDS Program Clients Receiving a Support Service in The United States in 2012 by Service Type
Service Type Number of Clients Percent of All Clients
Non-Medical Case Management 139,939 26.1
Medical Transportation Services 75,183 14.0
Treatment Adherence 65,418 12.2
Health Education/Risk Reduction 64,162 12.0
Food Bank/Home Delivered Meals 56,030 10.4
Psychosocial Support Services 51,699 9.6
Referral to Health Care / Support Services 32,937 6.1
Outreach Services 32,521 6.1
Emergency Financial Assistance 25,784 4.8
Housing Services 17,641 3.3
Legal Services 14,433 2.7
Linguistics Services 2,921 < 1
Residential Substance Abuse Services 1,711 < 1
Pediatric Developmental Assessment / Early Intervention Services 1,532 < 1
Child Care Services 1,032 < 1
Respite Care 254 < 1
Permanency Planning 206 < 1
Rehabilitation Services 130 < 1
Total Clients 536,219  

Note: Clients may receive more than one service.

The United StatesRyan White HIV/AIDS Program AIDS Drug Assistance Program (ADAP)6

The following section provides demographic and medical information on all Ryan White HIV/AIDS Program AIDS Drug Assistance Program (ADAP) clients in The United States in 2012.

ADAP Number of Clients Served

The estimated number of clients served by ADAP in the United States in 2012 was 244,436. A total of 34,743 new clients were served.

Note: A new ADAP client is an individual who has applied to the state ADAP for the first time ever and meets that ADAP's financial, medical, and other eligibility criteria. A new client may not necessarily be receiving medications or insurance assistance. The client may be on the waiting list, or may not have requested ADAP services.

ADAP Clients Served in The United States in 2012 by Gender

ADAP Clients Served by Gender
ADAP Clients Served in The United States in 2012 by Gender
Gender Number Percent
Male 194,380 79.6
Female 49,050 20.1
Transgender* 815 < 1
Total 244,245

Note: Gender was not reported for 191 client(s) (< 1%).

*Very few people self-identify with this group. Transgender is an individual whose gender identity is not congruent with his or her biological gender, regardless of the status of surgical and hormonal gender reassignment processes. Sometimes the term is used as an umbrella term encompassing transsexuals, transvestites, cross-dressers, and others. The term transgender refers to a continuum of gender expressions, identities, and roles, which expand the current dominant cultural values of what it means to be male or female.

ADAP Clients in The United States in 2012 by Race/Ethnicity

ADAP Clients by Race
ADAP Clients in The United States in 2012 by Race/Ethnicity
Race/Ethnicity Number Percent
White (not Hispanic) 92,095 38.4
Black or African-American (not Hispanic) 79,918 33.3
Hispanic 59,254 24.7
Asian (not Hispanic) 4,002 1.7
Native Hawaiian/Pacific Islander (not Hispanic) 534 < 1
American Indian/Alaska Native (not Hispanic) 1,071 < 1
Multiracial (not Hispanic) 2,939 1.2
Total 239,813

Note: Race/Ethnicity was missing/unknown for 4,623 client(s) (1.9).

ADAP Clients in The United States in 2012 by Age

ADAP Clients by Age
ADAP Clients in The United States in 2012 by Age
Age Number Percent
Under 2 35 < 1
2 - 12 175 < 1
13 - 24 9,225 3.8
25 - 44 99,388 40.7
45 - 64 125,399 51.3
65 and Above 10,211 4.2
Total 244,433

Note: Age was not reported for 3 client(s) (< 1%).

ADAP Expenditures in The United States in 2012 by Type

ADAP Expenditure by Type
ADAP Expenditures in The United States in 2012 by Type
Expenditure Type Number Percentage of All Expenditures
Insurance Coverage $ 295,443,005 15.0
Dispensing and Administrative Costs $ 43,208,334 2.2
Pharmaceuticals $ 1,621,075,169 82.4

Note: The total Expenditures do not include the amount spent under the ADAP Flexibility Policy and thus the percents may not add up to 100%.

ADAP Most Frequently Prescribed Drug Class in The United States in 2012

ADAP Frequently Prescribed Drug Class
ADAP Most Frequently Prescribed Drug Class in The United States in 2012
Drug Class Number of Aggregate Clients
Protease Inhibitors 485,915
Nucleoside/Nucleotide Reverse Transcriptase Inhibitors (NRTIs) 394,592
Multi-Class Combination 195,228
Integrase Inhibitors 88,072
Non-Nucleoside Reverse Transcriptase Inhibitors (NNRTIs) 74,646
Entry Inhibitors 6,568
Fusion Inhibitors 615

Note: Since a client can receive prescriptions across classes within the reporting period, the number of clients is duplicated within and across drug classes.

ADAP Most Frequently Prescribed Drug in The United States in 2012

ADAP Frequently Prescribed Drug
ADAP Most Frequently Prescribed Drug in The United States in 2012
Drug Number of Aggregate Clients
Truvada 233,767
Norvir 210,207
Atripla 195,226
Reyataz 118,438
Prezista 89,757
Isentress 88,072
Epzicom 57,038
Kaletra 40,668
Viread 30,092
Viramune 26,652

Note: Since a client can receive many prescriptions of the same drug within the reporting period, the number of clients is duplicated within and across medications.

The United StatesRyan White HIV/AIDS Program Oral Health Programs7

The following section provides demographic and service information on all Ryan White HIV/AIDS Program Oral Health Programs clients in The United States in 2012.

Oral Health Programs Number of Clients Served

The estimated number of clients served by Oral Health Programs in The United States in 2012 was 45,821.

Oral Health Program Clients in The United States in 2012 by Gender

Oral Health Program Clients, by Gender
Oral Health Programs Clients in The United States in 2012 by Gender
Gender Number Percent
Male 31,165 68.2
Female 14,317 31.3
Transgender* 226 < 1
Total 45,708

Note: Gender was not reported for 113 client(s) (< 1)

*Very few people self-identify with this group. Transgender is an individual whose gender identity is not congruent with his or her biological gender, regardless of the status of surgical and hormonal gender reassignment processes. Sometimes the term is used as an umbrella term encompassing transsexuals, transvestites, cross-dressers, and others. The term transgender refers to a continuum of gender expressions, identities, and roles, which expand the current dominant cultural values of what it means to be male or female.

Oral Health Programs Clients in The United States in 2012 by Age

Oral Health Program Clients by Age
Oral Health Programs Clients in The United States in 2012 by Age
Age Number Percent
2 - 12 147 < 1
13 - 24 1,575 3.4
25 - 44 20,019 43.8
45 - 65 21,380 46.8
65 and Above 2,556 5.6
Total 45,677

Note: Age was not reported for 144 client(s) (< 1%).

Oral Health Programs Clients in The United States in 2012 by Household Income as a Percentage of the Federal Poverty Level

Oral Health Program Clients by Household Income
Oral Health Programs Clients in The United States in 2012 by Household Income as a Percentage of the Federal Poverty Level
Household Income Level Number Percent
Below 100% of the FPL 29,326 74.9
Between 101-200% of the FPL 7,105 18.1
Between 201-300% of the FPL 1,893 4.8
Above 300% of the FPL 826 2.1
Total 39,150

Note: Household income was not reported for 6,671 client(s) (14.6%).

Oral Health Programs Client Visits in The United States in 2012 by Service Type

Oral Health Program Clients by Service Type
Oral Health Programs Client Visits in The United States in 2012 by Service Type
Service Type Number of Visits
Diagnostic 73,989
Restorative 46,354
Preventive 34,148
Oral Health Education 33,521
Prosthodontic 26,673
Oral and Maxillofacial Surgery 24,203
Periodontic 20,213
Nutrition Counseling 14,328
Emergency Services 13,825
Tobacco Prevention 12,734
Oral Medicine 7,289
Endodontic 6,221
Anesthesia 4,712
Other 5,115

The United StatesPerformance Indicators5

The U.S. Department of Health and Human Services (HHS) common core indicators are seven measures developed to monitor HHS-funded HIV/AIDS prevention, treatment, and care services. HHS Indicators are evaluated using results from Ryan White HIV/AIDS Program recipients to help provide a marker and assess progress towards achieving the result.

U.S. Department of Health and Human Services (HHS) Performance Indicators for The United States in 2012

HHS INDICATORS HAB MEASURE RESULT
HIV Positivity Percentage of HIV tests that were HIV positive. Percentage of HIV tests that were HIV positive. 1.1%
Late HIV Diagnosis Percentage of clients diagnosed with AIDS within 3 months of a diagnosis of HIV. Data not collected. ---
Linkage to HIV Medical Care Percentage of clients who attended a routine HIV medical care visit within 3 months of HIV diagnosis. Data not collected. ---
Retention in HIV Medical Care Percentage of clients with an HIV diagnosis who had at least one HIV medical care visit in each 6 month period of the 24 month measurement period, with a minimum of 60 days between the first medical visit in the period 6 month period and the last medical visit in the subsequent 6 month period. Data not reported. ---
Antiretroviral Therapy (ART) Among Persons in HIV Medical Care Percentage of clients with an HIV diagnosis who were prescribed ART. Percentage of HIV positive clients who had at least one OAMC visit that were prescribed ART 83.0%
Viral Load Suppression Among Persons in HIV Medical Care Percentage of clients with an HIV diagnosis with a viral load <200 copies/mL at last test. Percentage of HIV positive clients who had at least one OAMC visit and had at least one viral load reported whose last viral load was <200 copies. 75.0%
Housing Status Percentage of clients with an HIV diagnosis and receiving HIV services who were homeless or unstably housed. Percentage of HIV positive clients who were unstably housed. 4.1%

The United StatesPerformance Indicators

The National HIV/AIDS Strategy (NHAS) goals were developed to re-focus the nation’s response to the HIV epidemic in the United States and to undertake a more coordinated response. NHAS goals are evaluated using results from Ryan White HIV/AIDS Program recipients to help provide a marker and assess progress towards achieving the goals.

National HIV/AIDS Strategy (NHAS) Performance Indicators for The United States in 2012*

  NATIONAL TARGET HAB MEASURE RESULT
Increasing Access to Care and Improving Health Outcomes for People Living with HIV/AIDS By 2015, increase the proportion of newly diagnosed patients linked to clinical care within three months of their HIV diagnosis from 65% to 85% Data not reported. ---
By 2015, increase the proportion of clients who are in continuous care (at least 2 visits for routine HIV medical care in 12 months at least 3 months apart) from 73% to 80% Percentage of HIV positive clients with an Outpatient/ambulatory Medical Care (OAMC) visit before September First who had another visit at least 90 days later.
73%
80%

82%

Increase the percentage of Ryan White recipients with permanent housing from 82% to 86% Percentage of Ryan White clients that were stably housed.
82%
86%

83%

Reducing HIV-Related Health Disparities By 2015, increase the proportion of HIV diagnosed gay and bisexual men with undetectable viral load by 20% Percentage of HIV positive clients who are men who have sex with men (MSM) as a risk factor and had at least one OAMC visit whose last viral load count was <200 copies.
72%
86%

77%

By 2015, increase the proportion of HIV diagnosed Blacks with undetectable viral load by 20% Percentage of HIV positive clients who are Black and had at least one OAMC visit whose last viral load count was <200 copies.
63%
76%

70%

By 2015, increase the proportion of HIV diagnosed Latinos with undetectable viral load by 20% Percentage of HIV positive clients who are Hispanic and had at least one OAMC visit whose last viral load count was <200 copies.
74%
89%

78%

Current degree of progression An orange bar indicates the current degree of progress toward the goal.

Goal has been reached A solid green bar indicates that the goal has been reached or exceeded.

Measure less than baseline A solid gray bar indicates that the 2012 measure is less than the baseline value.

* Note that the NHAS goals are National targets and a compilation for work across the Federal government. The result shown applies only to the Ryan White HIV/AIDS Program in support of these goals.

Note: **Indicates suppressed data due to small cell sizes. For confidentiality, cells with <10 clients are not included in the column, row, and percentage calculations. However, for charting purposes, a value of 9 has been assigned.

*Part A provides emergency assistance to Eligible Metropolitan Areas (EMAs) and Transitional Grant Areas (TGAs) that are most severely affected by the HIV/AIDS epidemic.

Part B provides grants to all 50 states, the District of Columbia, Puerto Rico, Guam, the U.S. Virgin Islands, and five U.S. pacific territories or associated jurisdictions.

Part C provides comprehensive primary health care in an outpatient setting for people living with HIV disease.

Part D provides family-centered care involving outpatient or ambulatory care for women, infants, children, and youth living with or affected by HIV/AIDS.

Part F provides funds for a variety of programs:

The Special Projects of National Significance Program grants fund innovative models of care and supports the development of effective delivery systems for HIV care.

The AIDS Education and Training Centers Program supports a network of 11 regional centers and several national centers that conduct targeted, multidisciplinary education and training programs for health care providers treating people living with HIV/AIDS.

The Oral Health Programs provide additional funding for oral health care for people with HIV. Funds from all Ryan White HIV/AIDS Program grants can support the provision of oral health services. Two programs, however, specifically focus on funding oral health care for people with HIV: the Dental Reimbursement Program (DRP) and the Community-Based Dental Partnership Program (CBDPP).

The Minority AIDS Initiative provides funding to evaluate and address the disproportionate impact of HIV/AIDS on African-Americans and other racial/ethnic minorities.

Note: ***Excerpted from the 2014 RSR Instruction Manual

Stable Permanent Housing includes the following:

  • Renting and living in an unsubsidized room, house, or apartment.
  • Owning and living in an unsubsidized house or apartment.
  • Unsubsidized permanent placement with families or other self-sufficient arrangements.
  • Housing Opportunities for Persons with AIDS (HOPWA)-funded housing assistance, including Tenant-Based Rental Assistance (TBRA) or Facility-Based Housing Assistance, but not including the Short-Term Rent, Mortgage and Utility (STRMU) Assistance Program.
  • Subsidized, non-HOPWA, house or apartment, including Section 8, the HOME Investment Partnerships Program, and Public Housing.
  • Permanent housing for formerly homeless persons, including Shelter Plus Care, the Supportive Housing Program (SHP), and the Moderate Rehabilitation Program for SRO Dwellings (SRO Mod Rehab).
  • Institutional setting with greater support and continued residence expected (psychiatric hospital or other psychiatric facility, foster care home or foster care group home, or other residence or long-term care facility).

Temporary Housing includes the following:

  • Transitional housing for homeless people.
  • Temporary arrangement to stay or live with family or friends.
  • Other temporary arrangement such as a Ryan White Program housing subsidy.
  • Temporary placement in an institution (e.g., hospital, psychiatric hospital or other psychiatric facility, substance abuse treatment facility,or detoxification center).
  • Hotel or motel paid for without emergency shelter voucher.

Unstable Housing Arrangements include the following:

  • Emergency shelter, a public or private place not designed for, or ordinarily used as, a regular sleeping accommodation for human beings,including a vehicle, an abandoned building, a bus/train/subway station/airport, or anywhere outside.
  • Jail, prison, or a juvenile detention facility.
  • Hotel or motel paid for with emergency shelter voucher.

These definitions are based on:

  • Housing Opportunities for Persons With AIDS (HOPWA) Program, Annual Progress Report (APR), Measuring Performance Outcomes, form HUD-40110-C
  • McKinney-Vento Act, Title 42 US Code, Sec. 11302, General definition of homeless individual