Transcript HIV/AIDS, Homelessness and HOPWA

HIV/AIDS, Homelessness and HOPWA
National AIDS Housing Coalition
Congressional Briefing
HIV/AIDS, Homelessness and HOPWA
1959 Earliest case of HIV confirmed.
HIV found in blood samples
of an African man.
1969 First known case in the U.S.
A teen prostitute with HIV and
Kaposi's Sarcoma dies.
HIV/AIDS, Homelessness and HOPWA
1981
"Dr.
of thegay
CDC
said,
'The
evidence
against
“We Curran
saw a young
man
with
thebest
most
devastating
immune
contagion
no ever
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‘We don’t
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women'"
this is, but wecommunity
hope we don’t
see another like it again.’”
The New York Times 1981
Dr. Samuel Brode, the first time he saw a patient with AIDS.
"Gay cancer," later called GRID (Gay Related Immunodeficiency)
152 cases reported in the U.S.; 128 are dead.
HIV/AIDS, Homelessness and HOPWA
1982
Over and over, these men cry out against the weight of so
“When
it began
up inAIDS
children
many
losses
until itturning
seems that
is alland
there is and all
transfusion recipients, that was a turning point in
there
everofwill
be. perception. Up until then it was a
terms
public
gayGross
epidemic, and it was easy for the average
Jane
person to say 'So what?' Now everyone could
relate.”
Harold Jaffe, CDC
HIV/AIDS, Homelessness and HOPWA
1985
14-year old Ryan White,
diagnosed with AIDS at 13,
is barred from attending
school.
Rock Hudson dies of AIDS.
HIV/AIDS, Homelessness and HOPWA
1986
In February, the AIDS
Coalition to Unleash Power
(ACT UP) is founded. In
March, their first mass
demonstration was held on
Wall Street.
The AIDS Memorial Quilt is
started in San Francisco.
HIV/AIDS, Homelessness and HOPWA
1987
20 states introduce bills to ban PWAs from food-handling
and educational jobs, and force testing of prostitutes.
Several pass.
The AIDS Drug Assistance Program (ADAP) is initiated.
59,572 reported AIDS cases; 27,909 are dead.
HIV/AIDS, Homelessness and HOPWA
1990
The Ryan White CARE ACT passes authorizing $881 million.
Congress only appropriates $350 million.
American AIDS deaths pass the 100,000 mark — nearly twice
the number of Americans who died in Vietnam.
HIV/AIDS, Homelessness and HOPWA
1992
Federal Housing
Opportunities for Persons
with AIDS (HOPWA)
program created and
funded. $42.9 million
was awarded to 38
grantees (27 cities and 11
States).
HIV/AIDS, Homelessness and HOPWA
What is HOPWA?
The HOPWA program provides housing assistance and related
supportive services for low-income persons with HIV/AIDS
(PWHIV/AIDS) and their families.
Since the beginning of the HOPWA program in 1992, the Federal
government has made available over $2.3 billion in HOPWA
funds to support community efforts to create and operate
HIV/AIDS housing initiatives.
In FFY 2003, HOPWA funds were awarded to 111 grantees.
HIV/AIDS, Homelessness and HOPWA
HIV/AIDS Statistics
 According to the CDC, an estimated 850,000 to 950,000 Americans are
living with HIV.
 About half of infected Americans don’t know they have HIV or do not
receive the drugs that are improving the lives of others.
 At least half of all new HIV infections are among people under 25, and
the majority of young people are infected sexually.
 Of those diagnosed with AIDS – 18.4% are women; 40.6% are AfricanAmerican; 46% are gay men; 25% are or were injecting drug users.
 It is estimated that 33% - 50% of all PLWHIV/AIDS are either
homeless or in imminent danger of becoming homeless .
HIV/AIDS, Homelessness and HOPWA
The Need for Housing for PLHIV/AIDS
 In New York City, 60% of the 50,000 New Yorkers living with AIDS
received housing assistance in 2002 and 1,000 seek emergency housing
each month.
 HOPWA jurisdictions throughout the U.S. report extensive
waiting lists for HOPWA assisted housing. In 2002, this included
approximately 5,000 in NYC, 2,000 in Massachusetts, 534 in St. Louis,
over 350 in Dallas, and 514 in Washington, D.C.
 In Connecticut, a startling 80% of the 1,082 PLWHIV/AIDS who
requested housing assistance were denied because of a lack of
subsidized housing.
HIV/AIDS, Homelessness and HOPWA
1997
For the first time since 1981,
the number of AIDS-related deaths
dropped substantially across the US.
"The decline in deaths leaves more people
living with HIV/AIDS. …We still need
programs that assure access to treatment
and care for infected people."
Dr John Ward
HIV/AIDS, Homelessness and HOPWA
The Need for Housing for PLHIV/AIDS
 In Hawaii, half as many people are waiting for assistance as are served
through HOPWA. And in Phoenix, AZ, providers turn away more
than half of the people requesting assistance.
 In the South, 68% of people with HIV/AIDS pay more than
50% of their income to rent.
 In Los Angeles, 10,000 persons living with HIV/AIDS received
housing assistance in 2000.
HIV/AIDS, Homelessness and HOPWA
2003
40,000
902,223
new
HIV
512,758
diagnosed
infections
deaths.
with AIDS
each year.
HIV/AIDS, Homelessness and HOPWA
Housing is Healthcare!!!
PWHIV/AIDS must have stable housing to
access comprehensive healthcare and adhere to
complex drug therapies.
Even though stable housing has been shown to
be a necessary link to medical and supportive
services, accessing housing is difficult for many
reasons – affordability, long waiting lists, low
vacancy rates, lack of transportation and
childcare, unrealistic FMRs.
HIV/AIDS, Homelessness and HOPWA
HOPWA funds are awarded as grants from one
of three programs:
HOPWA Formula Program uses a statutory method to allocate HOPWA funds
to eligible States and cities on behalf of their metropolitan areas.
HOPWA Competitive Program is a national competition to select model
projects or programs.
HOPWA National Technical Assistance funding awards are provided to
strengthen the management, operation, and capacity of HOPWA grantees,
project sponsors, and potential applicants of HOPWA funding.
HIV/AIDS, Homelessness and HOPWA
HOPWA Funding 2001 – 2004 (in millions)
Fiscal year
Formula
allocations
Competitive
grants
Technical
assistance
Totals
2001
229.4
25.5
2.6
257.4
2002
247.9
27.5
2.0
277.4
2003
257.3
29.2
1.9
290.1
2004
263.0
29.2
2.5
294.7
HIV/AIDS, Homelessness and HOPWA
The administration's proposed
HOPWA budget for 2006 is
NAHC
strongly
$268 million.
recommends that
When
compared
to last year’s
HOPWA
be funded
at
funding
level,
thisin
amounts
$385
million
FY06 to a
$13 million decrease, the lowest level
since 2002.
HIV/AIDS, Homelessness and HOPWA
States and cities leverage
approximately two dollars
for every one dollar
provided by the HOPWA
program.
HIV/AIDS, Homelessness
and HOPWA
How HOPWA funds can be used….
HOPWA funds may be used for a wide range of housing, social services,
program planning, and development costs.
These include, acquisition, rehabilitation, or new construction of housing
units; costs for facility operations; rental assistance; and short-term
payments to prevent homelessness.
HOPWA funds also may be used for health care and mental health services,
chemical dependency treatment, nutritional services, case management,
assistance with daily living, and other supportive services.
HIV/AIDS, Homelessness
and HOPWA
Who has been assisted by HOPWA?
HUD estimates that the FY 2004 HOPWA appropriation:
Inclusive of family members, provided housing assistance
to about 73,700 persons; and that
 More than half of those units (45,000 units) were for small,
short-term payments to prevent homelessness.
 25,000 units involved ongoing rental assistance.
 Approximately 5,000 units in supportive housing facilities,
single room occupancy (SRO) dwellings, or community
residences also will be developed or operated with
HOPWA funds.
HIV/AIDS, Homelessness
and HOPWA
In Closing...
HOPWA funding is an important tool in the nation’s effort to
address the dual epidemics of homelessness and HIV/AIDS.
HOPWA assistance helps PLWHIV/AIDS overcome key barriers
to stable housing—affordability and discrimination.
NAHC strongly recommends that HOPWA be funded at $385
million in FY06
HIV/AIDS, Homelessness
and HOPWA
Washington, DC, March 2004
This presentation is dedicated in
memory of Keith Cylar and the
incredible work he did on behalf
of people with HIV/AIDS.
Keith was a co-founder and coexecutive director of
HousingWorks, NYC and a
Board member of NAHC.
April 14, 1958 - April 5, 2004
HIV/AIDS, Homelessness
and HOPWA
For more information contact:
Nancy Bernstine, Executive
Director
National AIDS Housing Coalition
1518 K Street NW, Suite 206
Washington, DC 20005-1518
202. 347-0333
[email protected]
www.nationalaidshousing.org