1. SUPPORT RESEARCH IN OLDER ADULTS WITH HIV R.O.A.H. 2.0:

• DAAS partially fund $75K confirmed June 2016
• Seeking $125 from other partners (DPH, foundation support, other city departments, etc.)
• DPH kicked in $80K awaiting final approval
• 5 Focus Groups targeting various populations completed by mid-December 2016, 4 groups A&PI, Long Term Survivors, Transgender and African American/Black conducted the week of November 7, 2016. Latino Group conducted in Spanish will be conducted on December 5.
• R.O.A.H. 2.0 will begin administering surveys in the first quarter of 2017
• ACRIA has secured some funding to conduct R.O.A.H. 2.0 in Oakland
• Projected sample at this time is 400-450
• Projected sample is =400 =  SF = 200 + East Bay = 200
• Plans are to use data and findings from R.O.A.H. 2.0 to establish an evidence base to be available for policy, advocacy, program development, to address the growing population of older adults with HIV in San Francisco
• Seeking additional $45-$100K to increase sample size to 500

1. HOUSING IS HEALTHCARE:
   • Seeking at least $275K

• $150K staff attorney to provide legal housing support for 100 clients
• $125K outreach & education

• To prevent evictions and homelessness through tenant outreach & education, and legal services specifically for those who are aging with HIV, particularly those who will age out of their private disability policies at age 65 
• The LTCCC prepared an ask to the Mayor and the Board of Supervisors to expand housing subsidies to reduce and prevent homelessness for housed and homeless persons who are either seniors or adults with disabilities.  The HIV & Aging Work Group will continue to work with the LTCCC to make sure those in the HIV and Aging demographic are included
• Support Getting to Zero Ask/HIV/AIDS Provider Network (HAPN) request for $3.7M, as reported earlier the city funded $3.1M of this ask

1. WELLNESS:  $90K designated to HIV & Aging services from city $3.1M via HIV Providers Network (HAPN) & Getting to zero (GTZ)

• Developed Increased & Sustained Linkage to Care
  • Seeking $350K
    • $125K for Peer Navigator/Peer Specialist
    • $175K Social Work Case Management
    • $50K additional staffing
• Increase Availability & Access to Legal, Financial & Employment Services
  • Seeking $325K
    • $100K staff attorney to provide legal support for benefits and financial and estate planning for 100 clients
    • $50K outreach & education

• HIV & AGING EMPLOYMENT SERVICES
  • Seeking $ 175 K
    • Serving clients from 50+ population, providing a pathway to On the Job Training (OJT)
    • 1 Staff person FT/computer
    • Every $50K allocated serves 25 clients
    • Meals and incentives for participation in program (meal for food insecurity issues)
    • Tiered mix of higher and lower job qualifications
    • Additional Asks
      • OJT for 15 individuals at $500@ 3 months + $500 Unemployment Insurance =$2000
      • OJT for 10 individuals at $750@ 3 months +$750 Unemployment Insurance

• INCREASE AVAILABILITY AND ACCESS TO MENTAL HEALTH & PSYCHOSOCIAL SERVICES

• Seeking $360K

• $210K – 2 FTE LCSW/MFT Therapists (salary & Fringe)
  • Deaths due to suicide and overdose among people with HIV have been increasing for several years
  • It is well documented that long term survivors have higher rates of depression, anxiety and PTSD
  • The need for these services substantially exceeds supply
• $150 – Psychosocial 2FTE -  100 Clients 
  • Provide information & referral, emotional support, client advocacy, care navigation, volunteer peer support matches, and services for clients’ emotional support animals

1. ENSURE FOOD SECURITY

• Seeking $100K
  • $75K for 30-50 clients, including staffing costs
  • $25K for equipment
  • Project Openhand will present on this at next HIV & Aging Work Group Meeting on November 14, 2016

5.     SUPPORT TRANSGENDER INCLUSION – TBD        

• First meeting with Trans Community representative occurred 4/11/16 Trans Masculine with a follow-up Trans Feminine in May 2016
• Needs a broader assessment with more community input
• Efforts will continue with recommendations to follow
• Possible funding from Elizabeth Taylor AIDS Foundation to support this joint project with a community partner
• Seeking $15K

6.    TRAINING FOR GERIATRICIANS & HIV PROVIDERS (MEDICAL & NON-MEDICAL) – TBD

• DAAS staff are currently doing an assessment of the need, per the LGBT Task Force recommendation, and will produce a format for trainings
• We support UCSF’S initiatives exploring intersections of gerontology and HIV care and their collaborative efforts with San Francisco General Hospital’s Ward 86 to weave together both specialties in a clinical setting.  Seeking $250K
• Co-Chair Chip Supanich and DPH Representative Kevin Hutchcroft developed a training targeting HIV Service Providers which was conducted on October 17, 2016.  (Slide Presentation Available)