The Black LGBTQ+ Sexual Health & Healing Hub

A culturally competent, trauma-informed, sex-positive healthcare ecosystem designed specifically for Black queer and trans people who avoid traditional clinics due to stigma, racism, transphobia, and past harm.

The Hub operates as a centralized home for all sexual health, harm reduction, and survival-support services. It addresses health holistically by integrating medical care, spiritual wellness, community care, safety, and economic empowerment.

The following programs operate under the Hub:

1. Rapid HIV/STI Access & Body-Affirming Care

A low-barrier sexual health access point offering:

• Rapid HIV testing

• On-site STI testing & treatment navigation

• Guaranteed linkage to care within 48 hours

• On-demand PrEP and emergency PEP access

• Hormone-friendly sexual health care (HRT + PrEP integration)

• Body-positive, sex-positive educational materials created by Black LGBTQ+ educators

This service is intentionally designed for people who traditionally avoid hospitals and clinics, centering safety, confidentiality, and community trust.

2. The House Call Project: Mobile HIV/STI Care

A mobile clinic bringing sexual health to those who cannot—or will not—use mainstream systems.

Services include:

• HIV & STI testing at shelters, hotels, encampments, and homes

• Condom, lube, safer smoking/snorting kit distribution

• HIV self-test kits

• At-home PrEP starts and medication delivery

• Transportation to medical appointments

This model meets community members exactly where they are, removing every barrier possible.

3. Black Trans & Queer Sex Worker Wellness Program

A stigma-free, decriminalization-informed program supporting Black LGBTQ+ sex workers through three integrated tracks:

A. Health & Harm Reduction

• No-ID HIV/STI testing

• “Bad date list” + community alert system

• Safer sex kits tailored for different forms of sex work

• Overdose prevention supplies & wound care

• Partnerships with affirming clinics for specialized exams

B. Rights, Safety & Dignity

• Know-your-rights education

• Expungement support

• Court navigation & accompaniment

• Online safety/digital security

C. Economic Empowerment

• Pathways to Tha Blacq Smoke job apprenticeships

• Emergency cash fund for leaving unsafe situations

• Financial planning & income stabilization for survival economies

This program protects sex workers’ safety while honoring their autonomy.

4. HIV Care Navigation & Retention Team

A specialized team for Black LGBTQ+ people living with HIV who have been underserved, misdiagnosed, or pushed out of care.

Supports include:

• Appointment scheduling & reminders

• Transportation support

• Medication pickup/delivery

• Peer navigators with lived experience

• Healing justice practices (ancestral rituals, somatic support, grounding techniques)

This team restores trust and ensures long-term continuity of care.

5. PEP/PrEP 24-Hour Access Line

A crisis-access hotline staffed by Black queer and trans educators.

Functions:

• Emergency PEP access within 72 hours

• Same-day PrEP start navigation

• Appointment coordination

• Transportation support

• Judgment-free sexual health counseling

6. Pleasure + Protection Education Initiative

A sex-positive curriculum designed for Black queer & trans youth and adults.

Modules include:

• Pleasure-centered safer sex practices

• HIV/STI prevention without respectability politics

• Consent in queer and trans relationships

• Safety on dating apps

• Sex work harm reduction

• Healthy relationships outside heteronormativity

This curriculum can be offered in schools, shelters, and community spaces.

7. Healing Justice Medical Respite Program

Short-term, supportive housing for individuals recovering from:

• HIV-related complications

• STI treatment

• Gender-affirming surgeries

• Violence, trauma, or crisis

Staffed by:
Peer navigators, harm reductionists, and healing justice practitioners who merge community, culture, and care.

8. Black LGBTQ+ Overdose Prevention & Drug Safety Initiative

An integrated harm reduction program recognizing that sexual health intersects with substance use.

Services include:

• Naloxone distribution

• Fentanyl & xylazine drug-checking strips

• Safer smoking/snorting kits

• Overdose prevention training

• Sex work–specific drug safety support

• Crisis de-escalation during high-risk encounters

9. Sexual Health Mutual Aid Fund

A flexible, rapid-response fund ensuring no one is denied sexual health care due to poverty or crisis.

Covers:

• Clinic co-pays

• STI medication

• Transportation to appointments

• Emergency housing during sexual health or safety crises

• Emergency cash for sex workers avoiding unsafe clients

• Safe hotel stays for recovery or crisis rest

This fund is an essential piece of community health and survival.