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Rural Project Examples: Housing and homelessness

Effective Examples

Medical Legal Partnership of Southern Illinois
Updated/reviewed June 2019
  • 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 4,300 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
Updated/reviewed November 2019
  • Need: To provide victims of domestic violence a safe space, 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 2018, Mitchell Area Safehouse answered 1,061 crisis calls, provided shelter for 206 survivors, and advocated for 847 survivors.
Positively Living
Updated/reviewed October 2019
  • Need: To provide care and support to eastern Tennesseans living with HIV/AIDS, disabilities, mental illness, substance use disorder, and/or homelessness.
  • Intervention: Positively Living provides services like counseling, case management, an HIV/AIDS clinic, and supportive housing.
  • Results: The program currently has 75 PrEP clients and in 2016 opened a second clinic to serve 12 more counties.
Recovery-Oriented System of Care (ROSOC)
Updated/reviewed September 2019
  • 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.
Canyon Creek Services
Updated/reviewed January 2019
  • Need: To reduce and prevent domestic violence and sexual assault in Utah's rural Beaver, Garfield, and Iron counties.
  • Intervention: Canyon Creek Services provides a 24/7 emergency hotline, emergency shelter, hospital response, and community education.
  • Results: From July 2017 to June 2018, CCS served over 720 survivors, 202 of them seeking emergency shelter. CCS presented within the community 56 different times with 1,443 participants.
funded by the Health Resources Services Administration NC-REACH: NC-Rurally Engaging and Assisting Clients who are HIV positive and Homeless
Updated/reviewed October 2018
  • 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.