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Housing Counts: A look at Homelessness among People with HIV in Connecticut Eileen McCarthy Connecticut AIDS Residenc

Housing Counts: A look at Homelessness among People with HIV in Connecticut Eileen McCarthy Connecticut AIDS Residence Coalition May 2004. AIDS is a growing problem in Connecticut. 17,000 people living with HIV/AIDS. The number continues to rise.

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Housing Counts: A look at Homelessness among People with HIV in Connecticut Eileen McCarthy Connecticut AIDS Residenc

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  1. Housing Counts: A look at Homelessness among People with HIV in ConnecticutEileen McCarthyConnecticut AIDS Residence CoalitionMay 2004

  2. AIDSis a growing problem in Connecticut. 17,000 people living with HIV/AIDS The number continues to rise. There is not enough designated AIDS housing.

  3. New AIDS Cases, AIDS Deaths and People with AIDS By Year, Connecticut Data through December 31, 2003

  4. Connecticut’s Epidemiology is unique • CT has the fastest increasing caseload of people living with AIDS in New England • CT has a higher rate of Hispanics and women with the disease • CT’s rate of transmission by injection drug use is twice the national average

  5. Percent of State by State Cumulative and Living Cases

  6. Category Nationwide Connecticut Hispanic 19% 29.3% Black 48.6% 34.6% White 30.7% 35.4% Infected by IDU 25% 47.4% Infected by MSM 46% 18.6% Female 25.7% 30.9% Male 74.3% 69.1% Connecticut vs. Nationwide Higher percentage than national average are: - Hispanic - infected by injection drug use - female

  7. HIV+ and Homelessness • Being HIV+ triples the likelihood that you will become homeless • Predictors of homelessness include: • Extreme poverty • Current alcohol or drug abuse • incarceration 300%

  8. People with HIV live on extremely low incomes Nationally 37% - less than $500/month 80% - less than $1,000/month CT 90% - less than $750/month (Waterbury) 45% - less than $500 and 77% - less than $1,000 (RW) 39% – less than $500 and 84% - less than 1,000 (CARC)

  9. Drug Abuse and Incarceration Among CT Citizens with HIV • CT’s rate of transmission by IDU is twice national average • 1 in 6 people with HIV in CT have history with Department of Corrections • Of people with history of incarceration, 83% were infection by IDU

  10. How many people living withHIV/AIDS in CT are homeless? • 10% of shelter residents have HIV • 1,400 households with HIV use shelter system each year • 2,000 households with HIV experience some kind of homelessness at least once in a year

  11. Consumer Surveys RevealHigher rates of Homelessness • 17% to 28% of consumers report being homeless in the past 12 months • This is 4,227 people or 25% of the total HIV/AIDS population.

  12. Homeless people with HIV are less likely to be receiving primary medical care • 19% of “in-care” respondents reported being homeless • 56% of “out-of-care” respondents reported being homeless

  13. Connecticut’s Housing Crisis • There is not one city or town in the entire state where a person receiving needs-based disability benefits can afford market rate housing. • CT has the sixth most expensive housing market in the country. • There are 260,000 needy households competing for 149,000 affordable housing units.

  14. What it costs to live in CT! [1]Out of Reach, a report of the National Low Income Housing Coalition, www.nlihc.org

  15. Subsidized Housing Gap Total Households below 200% FPL: 260,151 Less Subsidized units available: - 148,930 Households in need:111,221

  16. The Demand for AIDS HousingContinues to Outpace the Supply • Current AIDS housing providers serve 491 households. • This is 12% of the total homeless households with HIV • 1,082 persons applied for 224 vacancies (2002) • Total applications have increased 25% while housing units have increased 19% (1999-2002)

  17. NoConnecticut Citizen Living with HIV/AIDSshould be without a Permanent Home

  18. What is the Need for AIDS Housing? .

  19. MAPS

  20. No person with HIV or AIDS should be living in a shelter for the homeless 22 15 457 17 65 20 448 355 Total = 1,400 Estimates based on CARC shelter survey and CCEH homelessness data

  21. No person with HIV/AIDS should be without a permanent stable home of their own 34 23 1,500 30 100 48 1,381 Total = 4,227 1,111 Underlined Hartford, Middlesex, New Haven and Fairfield County numbers are based on actual survey. All other figures are estimates based on CARC shelter survey and CCEH data.

  22. Recommendations • Increase affordable permanent housing stock fg(e.g. New London, Middletown, Stamford-Norwalk) • Upgrade existing housing stock (Windham, Waterbury) • Address needs of substance users and formerly incarcerated • Focus on stabilizing at-risk housed population • Utilize local Continuum of Care for HUD funding • Get AIDS providers to participate in Continua of Care • Create true continua of housing without gaps

  23. Recommendations • Count people with HIV in yearly homeless census • Use drop-in centers for outreach • Include a housing specialist position in case management services wherever feasible • Fix DSS Security deposit program • Provide housing that does not disqualify active substance users but also enforces rules for community living.

  24. The End

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