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Shifting From Reactive HIV Care to Preventive HIV Care in Street Medicine

Clinical Thought

People experiencing homelessness or housing instability represent a key underserved population that is at elevated risk of HIV but less likely to receive pre-exposure prophylaxis. Can a small, volunteer-based street medicine organization successfully incorporate preventive care into its services, and what would it take to make that sustainable?

Released: November 12, 2026

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Provided by

Provided by Clinical Care Options, LLC dba Decera Clinical Education

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Supporters

This activity is supported by an educational grant from Gilead Sciences, Inc.

Gilead Sciences, Inc.

Partners

Street Medicine Institute

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Target Audience

This activity is intended for outreach teams and healthcare providers including physicians, pharmacists, registered nurses, social workers, and others who work with people experiencing homelessness.

Learning Objectives

Upon completion of this activity, participants should be able to:

  • Integrate conversations about PrEP availability, efficacy, and individualization into routine contacts with people experiencing housing instability or homelessness

  • Implement low-barrier strategies to support people experiencing homelessness to initiate and sustain use of a PrEP product that fits into the reality of their lives

Financial Disclosures

Primary Author

Tobie-Lynn Smith, MD, MPH, MEd, has no relevant financial relationships to disclose.

Additional Disclosures

Generative artificial intelligence (AI) tools were used for revising or refining educational content. All AI-assisted content underwent human review, editing, and validation by qualified faculty and accredited education staff to ensure scientific accuracy, balance, and compliance with the ACCME Standards for Integrity and Independence in Accredited Continuing Education.