Street Medicine Interventions for People with HIV who are Unsheltered - Capacity Builder Provider (HRSA-25-055) and Street Medicine Interventions for People with HIV who are Unsheltered - Evaluation Provider (HRSA-25-057)
HRSA grant aims to improve street medicine for unsheltered people with HIV by building capacity, evaluating interventions, and creating resources for replication in other settings.
Funder: Health Resources and Services Administration (HRSA)
Due Dates: March 11, 2025 (Current Closing Date)
Funding Amounts: Estimated total program funding: $1,250,000; Award ceiling and floor not specified.
Summary: Supports adaptation, implementation, evaluation, and dissemination of street medicine interventions for unsheltered people with HIV to improve health outcomes and care engagement.
Key Information: Cooperative Agreement funding; collaboration among Capacity Builder, Demonstration Sites, and Evaluation Provider; targets people with HIV who are unsheltered or unstably housed.
Description
This HRSA funding opportunity aims to improve health care delivery for people with HIV who are unsheltered or unstably housed by supporting street medicine interventions. The initiative involves three collaborating components: Capacity Building Provider (HRSA-25-055), Demonstration Sites (HRSA-25-056), and Evaluation Provider (HRSA-25-057). Together, they will adapt, document, implement, evaluate, and disseminate effective street medicine models tailored to this vulnerable population.
Street medicine is a client-centered approach that delivers health care services directly in the unsheltered environments where people live and congregate, such as streets and wooded areas. This approach addresses barriers to traditional clinic-based care, including restrictive facility policies, stigma, and social determinants of health challenges like chronic disease, mental health, and substance use disorders.
The initiative’s five key objectives are:
- Build capacity of demonstration sites to meet the health care needs of unsheltered people with HIV.
- Achieve uptake and sustainability of adapted interventions by Ryan White HIV/AIDS Program (RWHAP) recipient staff and clients.
- Conduct a rigorous multisite evaluation using implementation science to assess barriers, facilitators, strategies, costs, and outcomes.
- Develop and disseminate user-friendly multimedia materials to enable replication of street medicine interventions in other RWHAP settings.
- Utilize Centers for Medicare and Medicaid Services (CMS) Place of Service Codes to accurately reflect service locations.
The program responds to data showing lower viral suppression rates among unstably housed (72.4%) and temporarily housed (84.1%) clients compared to those with stable housing, highlighting the need for tailored interventions to end the HIV epidemic.
