Below are links to manuals for the models of care that were developed as part of the initiative Building a Medical Home for Multiply Diagnosed HIV-Positive Homeless Populations. They include a multisite manual that provides an overview of the initiative and nine manuals created by each of the nine demonstration sites that outline the model of care they developed as part of the initiative. As part of this set of manuals, the Resources page includes links to the job descriptions, tools, forms, standard operating procedures and other resources that the sites found helpful in setting up and implementing their models.
Learn more about the initiative at Medical Home Evaluation and Resource Team (Med-HEART), the evaluation and technical assistance center for the initiative.
Building a Medical Home for Multiply Diagnosed HIV-Positive Homeless Populations: An implementation guide to achieve the goals of the HIV Care Continuum for people living with HIV who have co-occurring mental health and substance use disorders and are experiencing homelessness
Multisite implementation manual
Health, Hope and Recovery: Intensive care coordination to link and retain individuals who are HIV-positive, multiply diagnosed and homeless in a medical home
Prism Health North Texas, Dallas, TX
PCMH Connections for Multiply Diagnosed San Diegans Living with HIV: Creating a collaborative care navigator model that serves individuals in San Diego who are homeless, HIV-positive, and face substance use or mental health challenges
Family Health Centers of San Diego (FHCSD), San Diego, CA
Project Hi-5: Comprehensive outreach and treatment for people in Houston living with HIV who are homeless, HIV-positive and face substance use or mental health challenges
Harris Health System, Houston, TX

University of Florida Center for HIV/AIDS Research, Education and Service (UF CARES), Jacksonville, FL

Multnomah County HIV Health Services Center, Portland, Oregon

Yale University School of Medicine AIDS Program, New Haven, CT

City of Pasadena Public Health Department, Pasadena, CA

San Francisco Department of Public Health, San Francisco, CA

CommWell Health, Dunn, NC