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■ In order to better serve the changing characteristics of persons living with HIV /AIDS in Orange County, the AIDS Services Foundation collaborated with other special needs populations and increased its participation in the Consolidated Plan and Continuum of Care process. During the report period, a partnership development project for dually diagnosed has been designed and construction of a second permanent supportive housing project was started. ■ The State budget will have a severe impact on programs for persons living with HIV /AIDS. Much of the medical treatment provided to persons living with HIV /AIDS was state - funded. As these resources have been drastically reduced, the County has had to identify other funding sources that could close this funding gap. The result is added pressure on HOPWA resources to close the new gaps created by the State - budget debacle. 2. Trends in meeting needs: The need for affordable housing continues to be a barrier to the stabilization of persons with HIV /AIDS. The large number of persons who have multiple diagnoses, i.e., mental health issues or substance abuse issues also compounds this problem. Although 23 housing units for persons with HIV /AIDS have been constructed there still remains a severe shortage. Statistics indicate a rise in HIV infections countywide. Many professionals surmise that this rise is attributable to advances in treatment that has given the appearance that HIV /AIDS is treatable thus resulting in a more casual attitude toward safe sex. An increase in infection rates will place added burden on an already overtaxed system of care. D. ACCOMPLISHMENT DATA HUD has required the City to complete the following tables related to the expenditure of HOPWA funds during the 2003 -2004 report period. In addition to these tables, the City is required to complete project information in HUD's IDIS system. 46 19E-49 9/9/04