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Rural Health Information Hub

Rural Project Examples: Housing and homelessness

Effective Examples

Medical Legal Partnership of Southern Illinois
Updated/reviewed August 2023
  • 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 5,400 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.
funded by the Health Resources Services Administration NC-REACH: NC-Rurally Engaging and Assisting Clients who are HIV positive and Homeless
Updated/reviewed November 2020
  • 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.

Other Project Examples

Safe Place of Eastern South Dakota
Updated/reviewed November 2023
  • Need: To provide victims of domestic violence and sexual assault a safe space, advocacy, education, and family support services.
  • Intervention: Safe Place of Eastern South Dakota provides emergency/transitional housing, support and referral services, family visitation services, and community education.
  • Results: In 2022, Safe Place of Eastern South Dakota answered 350 crisis calls, provided shelter for 132 survivors, and advocated for 94 survivors.
The Possibility Shop
Added June 2023
  • Need: To connect vulnerable populations in Allegany County, Maryland, to health and human services and to items like hygiene products, food, and clothing.
  • Intervention: The Possibility Shop partners with health organizations, insurance navigators, food banks, and other agencies.
  • Results: From January through May 2023, 2,983 service encounters occurred and 253 intakes to services were performed.
Canyon Creek Services
Updated/reviewed March 2023
  • 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, crisis intervention, housing advocacy, and community education services.
  • Results: In 2022, CCS served 756 survivors, with 141 of them accessing the emergency shelter. CCS reached 159,275 people through community outreach and prevention campaigns.
Recovery Kentucky
Added February 2023
  • Need: To provide housing and recovery services for rural Kentuckians dealing with substance use.
  • Intervention: Recovery Kentucky has 8 rural locations and provides apartments within a congregate living environment and an opportunity to begin recovery from substance use disorder in a structured, peer-led 12-step environment.
  • Results: The rural and urban centers serve up to 2,200 people annually. An independent university-led resident outcome evaluation showed significant improvements in clients' drug and alcohol use, housing and employment status, decrease in criminal justice improvement, and improved health and mental health.
Positively Living & Choice Health Network
Updated/reviewed December 2022
  • Need: To provide healthcare and support to thousands of East Tennesseans living with HIV/AIDS, mental illness, substance use disorder, and homelessness and dealing with LGBT discrimination.
  • Intervention: Positively Living & Choice Health Network provides services like a medical clinic and pharmacy, therapy, client services like housing aid and transportation, and a harm reduction program.
  • Results: The program currently serves 5,000 individuals and families through its offices in Knoxville, Chattanooga, Memphis, and rural Cookeville and its mobile medical unit for rural communities.