The face of AIDS has changed since DSHF opened its doors, and advances in treatment have made a return to independence a viable goal for many residents. As the population of PLWA has become poorer, DOORWAYS’ resources have been challenged to coordinate services that respond to more complex needs. Mental health diagnoses, chronic substance abuse histories, complicating dementias, and/or physical limitations create obstacles that impact the majority of DSHF residents. Nevertheless, last year, 76% of clients exited DSHF to independent life, and only 4% of returned for another engagement. The average income available to residents increased by 31%, as 100% of those who were admitted with no available income were connected to government-funded financial benefits. All new DSHF residents achieved measurable health improvements as a result of services delivered. Through DSHF, DOORWAYS offers people living with this disease a pathway to recovery and healing that respects the demands of their advancing illness, and still offers hope for the reclaiming of a higher quality of life. Whether moving out or achieving stability at DSHF represents the ultimate goal, DOORWAYS’ strives to meet the immediate and long range goals of residents.