HIV Street Medicine | The Last Mile
The Solution to Ending the HIV Epidemic.
It’s no longer a question of science but of access. HIV Street Medicine transforms HIV care by embedding prevention and treatment into mobile, community-based street medicine teams that meet patients on sidewalks, in encampments, at reentry centers, and in rural areas.
HIV Street Medicine provides a powerful national pathway to bring equitable HIV prevention and treatment directly to people who need it most.
The United States has the technical capacity and infrastructure to end the HIV epidemic (EHE). HIV prevention and treatment modalities are highly effective. Federal and state initiatives have expanded access to whole person care, care coordination, and community- based services.
Yet the Epidemic Persists.
Antiretroviral therapy and PrEP are highly effective, but without equitable delivery through models like HIV Street Medicine, too many people remain out of reach.
In 2022, about 31,800 people acquired HIV in the U.S., only a 12% drop since 2018.
Disparities Remain
Black/ African Americans accounted for 37% (11,900) of new cases
Hispanics/Latinos 33% (10,500), despite smaller population shares
Nearly half of new cases occur in the South. Adults 25–34 make up the largest share (37%)
This is the Last Mile
If HIV care does not reliably reach people living outside clinic walls, sustained national viral suppression cannot be achieved. Ongoing gaps drive preventable transmission, avoidable emergency and inpatient utilization, and long-term public health costs.
HIV and Homelessness
THE END IS IN SIGHT
We have the tools to end the HIV Epidemic. Do we have the will to deliver them?
Street medicine reaches the people clinics never will delivering HIV prevention and treatment right where they live.
An AIDS-free generation is within reach. Getting there is a policy and funding choice, not a scientific one.
THE SOLUTION TO ENDING THE HIV EPIDEMIC
Testing + Treatment (PrEP & ART) + Behavioral Health + Primary Care Delivered to People Where They Are.
Want to learn more about HIV Street Medicine | The Last Mile?
Reach out! Let’s talk about how addressing homelessness is a nationwide public health intervention and the missing last mile of the HIV response.
Locations
Headquarters
250 Quail Ridge Rd. Scotts Valley, CA 95066
Serving:
Los Angeles County | San Bernardino County | Riverside County | San Diego County
Disclaimer: Please do not send sensitive medical information via our contact form. It is for general inquiries.
Street Medicine Services
A Revolution in Street Medicine
-
Prevention, Testing, and Treatment: Rapid point-of-care HIV testing, pre-exposure prophylaxis (PrEP), and immediate initiation of antiretroviral therapy (ART) for people living with HIV.
Ongoing follow-up supports adherence and viral suppression, with telehealth access to HIV specialists when indicated.
-
Direct medical services tailored to the immediate needs of the unsheltered including including wound care, chronic disease management, and infectious disease monitoring.
-
Behavioral Health and Substance Use Treatment: Screening, assessment, diagnosis, psychiatric consultation, medication management, and Medication-Assisted Treatment (MAT), including buprenorphine and naltrexone. All services are trauma-informed and integrated into the primary care encounter.
-
Guidance and support in navigating healthcare systems to optimize access and financial support.
-
Relationship-Based Care Where People Are: Care is provided on the streets, in encampments, and other community settings on a consistent schedule to support patient engagement and continuity.
We eliminate transportation and accessibility issues by bringing healthcare directly to communities in need.
Experienced care managers will work with your community to help you and your community achieve long-term health and wellness.
-
Promoting health and wellness and disease prevention by providing the following:
Infectious disease (eg HIV, STIs) testing, prevention and treatment
Vaccinations
Health Education

