Transitional Care Coordination for PLWHA

CAMBA’s Transitional Care Coordinati​​on for People Living with HIV/AIDS Program links individuals to housing and primary medical care. Program staff work with clients to develop coordinated service plans that will ensure they are connected to a wide range of services, including:​​​​

  • Medical/mental health services
  • One-on-one health promotion counseling sessions
  • Substance abuse treatment services​
  • ​Access to public benefits and other supportive services
  • Accompanying and advocating for clients at medical and other appointments such as housing

Once clients are connected to housing and medical care, program staff will facilitate the transfer of their cases to a Ryan White Care Coordination program, HealthLink, or another case management program.​Staff follows up with clients after their transfer  to ensure that the transitions have been smooth and positive.

The Transitional Care Coordination program serves New York City residents living with HIV/AIDS who are homeless or unstably housed, or lost to primary care (defined as  no primary care visit within the past nine months; have never been in care; difficulty​ keeping appointments; received sporadic, irregular care;  frequently changed medical providers or have difficulties adhering to ARV therapy)  Funding is provided by the NYC Department of Health and Mental Hygiene through a contract with Public Health Solutions.

​Please call us at (718) 462-8654 if you are living with HIV/AIDS and need support to stabilize your housing or medical care. Services are provided at our Community Office.


19 Winthrop Street
Brooklyn, NY 11225


(718) 462-8654