Rural Project Examples Addressing Housing and homelessness

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.

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.

Added February 2024

Need: To provide a convenient and affordable lodging option for patients who have traveled from a distance to receive medical treatment in Bozeman, Montana.
Intervention: An RV parking program that lets anyone who is actively seeking care at Bozeman Health Deaconess Regional Medical Center stay in the hospital parking lot.
Results: Throughout the summer of 2023, at least one patient was using an RV parking space at all times.

Updated/reviewed February 2024

Need: To provide affirming, destigmatized healthcare and support to thousands of Tennesseans living with HIV/AIDS, mental illness, substance use disorder, and homelessness – and prevention services for individuals at risk of contracting HIV.
Intervention: Positively Living & Choice Health Network provides services including a medical clinic, pharmacy, therapy, case management, client services like housing aid and transportation, HIV prevention, and a harm reduction program.
Results: The program currently serves 5,000 individuals and families through its offices in Knoxville, Chattanooga, Memphis, and Cookeville and its mobile medical unit for rural communities in Cocke and Claiborne counties.

Updated/reviewed February 2024

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.

Updated/reviewed January 2024

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: In 2023, 8,684 service encounters occurred and 501 intakes to services were performed.

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.

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.

Rural Project Examples: Housing and homelessness