The HIV, Housing & Employment Project

The Health Resources & Services Administration (HRSA), HIV/AIDS Bureau, through its Special Projects of National Significance (SPNS) Program, has funded a national initiative to support the design, implementation, and evaluation of interventions that coordinate HIV care and treatment, housing, and employment services to improve health outcomes for people living with HIV. Boston University and its partners are working as the Evaluation and Technical Assistance Provider (ETAP) Center for this 3-year project to promote access to equitable housing, employment, and HIV care for people from low-income and racial and ethnic minority communities.

Staff at BU have partnered with the following organizations and individuals to form the ETAP:

  • Boston Health Care for the Homeless Program
  • University of California San Francisco (UCSF) and University of California Los Angeles (UCLA)
  • Harvard Law School Center for Health Law Policy & Innovation
  • Impact Marketing
  • Boston University School of Public Health Biostatistics and Epidemiology Data Analytics Center (BEDAC)
  • Consumer advisors
  • Consultants in employment training and housing support for people experiencing homelessness

The goals of the Evaluation Technical Assistance Provider Center are to:

  1. Develop and implement a mixed-methods, multisite evaluation of the SPNS interventions
  2. Provide training and technical assistance to implement housing and employment supports that achieve quality HIV and behavioral health care
  3. Produce and disseminate products that can be replicated in other Ryan White and community partners to improve the health outcomes for PLWH in racial/ethnic minority communities

The ETAP will work with 12 clinical sites to build sustainable, replicable models of care that coordinate health, housing, and employment services to reduce barriers to care and improve health outcomes.

Demonstration sites include:

  • AIDS Foundation of Chicago, Chicago, IL
  • Avenue 360 Health & Wellness (formerly Houston Area Community Services), Houston, TX
  • Bexar County Hospital District, San Antonio, TX
  • Family Health Centers of San Diego, San Diego, CA
  • Fenway Community Health Center, Boston, MA
  • Gay Men’s Health Crisis, Inc., New York, NY
  • City of Kansas City, Missouri, Kansas City, MO
  • City of Pasadena Public Health Department, Pasadena, CA
  • City of Paterson, NJ, Paterson, NJ
  • Positive Impact Health Center, Inc., Duluth, GA
  • Positive Resource Center, San Francisco, CA
  • Yale University, New Haven, CT


Serena Rajabiun
Principal Investigator

Tom Byrne
Co-Principal Investigator, Evaluator

Brena Sena
Program Manager

Marena Sullivan
Research Assistant

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U90HA31449 (Special Projects of National Significance (SPNS) Initiative Improving HIV Health Outcomes through the Coordination of Supportive Employment and Housing Services- Evaluation and Technical Assistance Provider, in the amount of $700,000 awarded annually to Trustees of Boston University. No percentage of this project was financed with nongovernmental sources. This information or content and conclusions are those of the authors and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.

Project Impact

There is little evidence available on effective models to engage low-income people living with HIV from racial/ethnic minority communities in reducing housing and employment needs to improve health status. By evaluating the outcomes of the demonstration site interventions, we will have a better understanding of key strategies for addressing housing and employment needs as a way to improve HIV health outcomes, how much it costs to implement a successful intervention, and how to integrate a successful model into the existing work of a clinic or agency. Resources such as implementation manuals and peer-reviewed articles that share key findings will be available to organizations who wish to improve the health outcomes of people living with HIV in the low-income racial and ethnic minority communities they serve.