Open AccessMobile Multidisciplinary HIV Medical Care for Hard-to-Reach Individuals Experiencing Homelessness in San Francisco
Author(s) -
Deborah Borne,
Janell Tryon,
Serena Rajabiun,
Jane Fox,
Alexander de Groot,
Kristina Gunhouse-Vigil
Publication year - 2018
Publication title -
american journal of public health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.284
H-Index - 264
eISSN - 1541-0048
pISSN - 0090-0036
DOI - 10.2105/ajph.2018.304732
Subject(s) - multidisciplinary approach , human immunodeficiency virus (hiv) , gerontology , medicine , family medicine , psychiatry , sociology , social science
The San Francisco, California-based HIV Homeless-Health Outreach Mobile Engagement (HHOME) program aims to improve health and housing outcomes for multiply diagnosed people experiencing chronic homelessness whom the HIV care system has failed to reach. From 2014 to 2017, HHOME's mobile multidisciplinary team served 106 clients. Viral suppression increased from 23.6% to 60%, and 73.8% obtained permanent supportive housing (n = 61). System-level changes included the adoption of city-wide standardized acuity assessment tools HIV Care Coordination Taskforce by community partners. This article highlights HHOME's core components and its public health implications.