Borne Deborah, Tryon Janell, Rajabiun Serena, Fox Jane, de Groot Alexander, Gunhouse-Vigil Kristina
Deborah Borne and Janell Tryon are with the San Francisco Department of Public Health, San Francisco, CA. Serena Rajabiun and Alexander de Groot are with the Boston University School of Public Health, Boston, MA. Serena Rajabiun is also a Guest Editor for this supplement issue. Jane Fox is with Abt Associates, Cambridge, MA. Kristina Gunhouse-Vigil is with the San Francisco Community Health Center, San Francisco.
Am J Public Health. 2018 Dec;108(S7):S528-S530. doi: 10.2105/AJPH.2018.304732.
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.
总部位于加利福尼亚州旧金山的“艾滋病毒无家可归者健康外展移动参与（HHOME）”项目旨在改善多重诊断的慢性无家可归者的健康和住房状况，这些人是艾滋病毒护理系统未能覆盖到的。2014年至2017年期间，HHOME的移动多学科团队为106名客户提供了服务。病毒抑制率从23.6%提高到了60%，73.8%的人获得了永久性支持性住房（n = 61）。系统层面的变化包括社区合作伙伴采用了全市范围的标准化 acuity 评估工具“艾滋病毒护理协调特别工作组”。本文重点介绍了HHOME的核心组成部分及其对公共卫生的影响。
