In 2002, DOORWAYS was awarded two Special Projects of National Significance (SPNS) grants through the U.S. Department of Housing and Urban Development to increase housing options for people living with HIV/AIDS (PLWH/A) in rural parts of both Missouri and Illinois. The Outstate Permanent Supportive Housing Program works with grassroots, community-based and faith-based organizations which have a history of providing housing and related assistance to poor and disadvantaged persons, in an effort to develop comprehensive long-term supportive housing strategies in rural and under-served areas for those with HIV/AIDS.

Current project partners in Missouri are the RAIN-Central Missouri, Inc. In Illinois, DOORWAYS works with Fifth Street Renaissance. By providing technical assistance and administrative support to these partners, DOORWAYS has helped PLWH/A achieve or maintain stable housing through improved access to subsidy and existing units, while helping its partners increase the production of affordable housing units in the communities they serve.


Research has found that over half of people living with HIV/AIDS have been homeless at some point in their lives yet housing assistance is only available in 1 to 4 low-income households in need. Housing is the greatest unmet need for PLWH/A according to the CDD– Outstate works to meet that need and ensure people living in rural areas receive the health and mental health benefits of being stably housed. This means the services DOORWAYS provide are vital to the survival of homeless people living with HIV/AIDS. Despite their hard work, in 2011 Outstate had 115 people in Missouri and 59 people in Illinois with unmet needs.