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AIDS Connecticut

In Connecticut, the chronically homeless make up about 10 percent of the homeless population.  They are the most intense users of emergency shelters and services and often have chronic conditions, like mental illness, substance abuse or another chronic illness, or a physical disability, that make it difficult to stay housed or maintain employment.

AIDS Connecticut leads the implementation of the Connecticut Integrated Healthcare and Housing Neighborhoods, which is building on Connecticut’s success with supportive housing as a statewide approach to ending chronic homelessness, and will create a health home outreach model linking primary care, behavioral health care and supportive housing. Individuals identified through a data match between the State’s Medicaid administrative data and Homeless Management Information Systems are provided with supportive housing linked to health services through a coordinated delivery system involving Federally Qualified Health Centers, local mental health agencies and other providers. Care coordination is achieved through Patient Navigator positions serving as boundary spanners across housing and health providers.

CSH's Role

CSH has awarded AIDS Connecticut with an annual grant to identify and serve the highest cost users of crisis health services in Connecticut. The grant will fund “patient navigators” and “systems coordinators” in regions of the state who will aid effective service integration and care coordination between primary health, behavioral health and supportive housing.

CSH has also created a national learning network including AIDS Connecticut and the other subgrantees which will:

  • create unique partnerships between community health and housing systems
  • engage policymakers
  • build an innovative model that can be replicated, extending the benefits of the pilot programs far beyond the initial tenants.

CSH is working with researchers from New York University to conduct a rigorous national evaluation testing the impact on housing and health outcomes, as well as on public costs, including Medicaid.

Partners

Partnership for Strong Communities’ Reaching Home Campaign

“The interaction between housing instability, homelessness, and complex health conditions often results in the frequent use of costly emergency health services, like detox and emergency departments, as well as avoidable and prolonged inpatient hospitalizations. Our funded project will build upon Connecticut’s success with supportive housing as central to the statewide approach to ending chronic homelessness, and will create a health home outreach model linking primary care, behavioral healthcare and supportive housing,” says AIDS Connecticut.

 

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