In partnership with the national Transitions Clinic Network (TCN) and the Formerly Incarcerated Transition (FIT) Program in North Carolina, we recently published videos and tools on a primary care-based model to increase formerly incarcerated individuals’ access to care for chronic health conditions, including SUD, as well as to community services.

TCN provides implementation assistance and structured support to primary care practices across the country. The key to every TCN program is the community health worker (CHW) who joins the primary care team. The CHW, who has lived experience of incarceration, connects with individuals before release, coordinates their care, and helps them navigate services. The CHW builds relationships with local organizations to pave the way for warm handoffs. TCN stresses broad community engagement and is attentive to the unique needs of each community.

Resources available include three videos, a fact sheet, workflows, a financial tool, CHW job description, and more. 

Questions about resources or programs? Program Assistance is here to help.