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Rural Project Examples: Housing and homelessness

Effective Examples

Medical-Legal Partnership of Southern Illinois
Added October 2016
  • Need: Legal barriers often prevent economically disadvantaged people in Southern Illinois from obtaining positive health outcomes despite receiving medical care.
  • Intervention: The Medical-Legal Partnership of Southern Illinois (MLPSI) was formed to create a system where medical providers can refer patients in need of legal assistance to local attorneys.
  • Results: Over 2,500 patients have utilized MLPSI since its founding in 2002. The program has relieved over $8.1 million in medical debt for both hospitals and patients.

Other Project Examples

Mitchell Area Safehouse and Family Visitation Center
Added November 2017
  • Need: To provide victims of domestic violence a safe space as well as advocacy, education, and family support services.
  • Intervention: The Mitchell Area Safehouse and Family Visitation Center in rural South Dakota provides emergency/transitional housing, support groups, and community education.
  • Results: In 2016, Mitchell Area Safehouse answered 2,114 crisis calls, provided shelter for 193 survivors, and advocated for 1,226 survivors.
funded by the Health Resources Services Administration NC-REACH: NC-Rurally Engaging and Assisting Clients who are HIV positive and Homeless
Added October 2017
  • Need: Provision of medical care access and follow-up for rural North Carolina HIV patients with mental health, substance abuse, and unstable housing/homelessness challenges.
  • Intervention: Medical home staff model expanded to a care coordination program with a core Network Navigator and Continuum of Care Coordinator assisting with medical, behavioral health, and basic life needs.
  • Results: To date, the program has advanced three aspects of medical home patient care for this target population: provided further understanding of the spectrum of homelessness, including “hidden” homelessness; implemented outreach with creation of new community partnerships and a community housing coalition; and integrated medical care and behavioral health care for HIV.
Youth Emergency Services, Inc. Independent and Transitional Living Programs
Updated/reviewed June 2017
  • Need: Adolescents leaving foster care or other unsafe living situations need extra assistance, but they are often left without any kind of family or support system. As a result, they are at a greater risk for homelessness, unemployment, and entering the criminal justice system.
  • Intervention: The Youth Emergency Services, Inc. Independent and Transitional Living programs assist at-risk adolescents and young adults with housing, education, and development of life skills.
  • Results: These two programs help young people under the age of 22 find secure, affordable housing; graduate from high school; obtain employment; and gain skills to live sustainable and constructive lives.
Recovery-Oriented System of Care (ROSOC)
Updated/reviewed January 2016
  • Need: To serve adults in Mendocino County, California with chronic substance use disorders, mental health diagnoses, and/or complex medical conditions who frequently utilize emergency departments and jail services.
  • Intervention: A safety net organization was formed that works with medical providers and law enforcement to reduce the high cost of caring for frequent utilizers through intensive care coordination activities.
  • Results: Greater overall stability in the lives of clients, with less utilization of low-efficacy, crisis-oriented services, hospitalizations, and incarcerations.