Transitions Clinic Network

The Transitions Clinic Network (TCN) is a national organization committed to eliminating the health impacts of mass incarceration by transforming the health system to better meet the needs of individuals returning from incarceration.

We do this through: 

Patient Care 

TCN has a national network of community-based primary care clinics that provide healthcare and social support to people who are reentering their communities after incarceration. TCN programs address the health and wellbeing of patients by providing medical and behavioral healthcare, and by meeting other needs that support successful reentry.

Central to the TCN Model are community health workers (CHWs) with lived experience of incarceration. CHWs are integrated into the primary health system to engage with and support patients and serve as a liaison to primary health services.  This shared history helps build a trusting and engaging relationship, which leads to better health outcomes for patients.

The first TCN program was launched in 2006 at Southeast Health Center by Drs. Emily Wang and Clemens Hong in collaboration with the San Francisco Department of Public Health. Under the leadership of TCN Executive Director Dr. Shira Shavit, the TCN network has grown since 2008 to include 48 community-based primary care programs in 14 states and Puerto Rico.


Training and Technical Assistance

TCN provides comprehensive training and technical assistance to build capacity and transform health systems. This includes enhanced care management training to support health workers who are caring for justice-involved patient populations; year-long, structured implementation training for health systems adopting the TCN Model; workforce development training for community health workers with lived experience of incarceration, as well as training the health systems they are working in on how to effectively support employees who have been impacted by the criminal legal system.


Policy Change

The TCN network and Model were developed out of deep listening and collaboration with impacted communities. TCN is a leader in community-driven policy development and implementation to expand healthcare coverage, access, and engagement for communities that have been harmed by the US’ racist mass incarceration policies. The TCN national team includes recognized experts in health policy and practice and is led by those with lived experience. Through listening sessions, community advisory convenings, policy analysis, and implementation guidance for state and local health agencies, TCN is committed to ensuring that individuals with lived experiences are engaged in ongoing policymaking.


Research and Evaluation

The TCN Model is guided by research from UCSF and Yale. The evidence base supporting the TCN Model of patient-centered, enhanced primary care has inspired health system transformation and policy change to better meet the needs of our patient population. TCN-affiliated medical providers, researchers, and impacted community members are regularly engaged in government-funded research, data collection, and analysis, and TCN’s evaluation team encourages constant quality improvement in the clinical activities at all sites.