SPNS Initiative: Building a Medical Home for Multiply-Diagnosed HIV-positive Homeless Populations, 2012-2017


The Special Projects of National Significance (SPNS) Program Building a Medical Home for Multiply Diagnosed HIV-positive Homeless Populations initiative is a multi-site demonstration project expected to provide funding for five years to support organizations designing, implementing, and evaluating innovative interventions to improve timely entry, engagement, and retention in HIV care and supportive services for HIV positive homeless and unstably housed people living with HIV and co-occurring mental illness and/or substance use disorders. The interventions are expected to implement models of care that build and maintain sustainable linkages to mental health, substance abuse treatment, and HIV primary care services to HIV positive individuals who are homeless or unstably housed. Given the transient and unstable lives of homeless people living with HIV and co-occurring mental health or substance use disorders, it is important to strategically coordinate efforts to engage and retain them in care by addressing their complex service needs and to ensure their adherence to treatment.

The HIV/AIDS Bureau has recommended the adoption of a set of organizational structures characterized by integrated or co-located strategies for service provision by each demonstration site funded under this initiative. In addition, demonstration site organizations are expected to provide intensive coordination of care and service needs to ensure retention and adherence to treatment. For the purposes of this initiative, integrated services will be broadly defined to include the management and delivery of HIV primary care, substance abuse and mental health treatment that assure homeless and unstably housed people living HIV receive a continuum of care that address their specific needs. In addition, demonstration sites are expected to include access to housing resources and services for their target population. This may be achieved through the co-location of services within an HIV primary care clinic, within a public housing facility that serves the target population, or building a network of providers through the execution of memoranda of understanding or contracts.

Grant Recipients


Date Last Reviewed:  October 2016