Project Summary: Peach Tree Healthcare (Peach Tree), a community-based health care provider is applying for funding to address health disparities and service gaps in Sacramento Valley among low-income, high-risk, racial and ethnic minority populations, as well as persons who identify as LGBTQI+ who are not in stable housing. Peach Tree offers a wide-range of medical, behavioral health, dental, and vision services across the lifespan. We operate eight service delivery sites, have two mobile units, and became a Federally Qualified Health Center (FQHC) in 2006. Geographic Catchment Area includes Sacramento County, one of the 48 counties listed in the National HIV/AIDS Strategy for the United States 2022-2025. Peach Tree’s broader service area covers 22 ZIP codes which includes parts of Sacramento, and the unincorporated Sacramento suburbs of Arden/Arcade and Foothill Farms. Rural geographies of our Sacramento Valley service area have limited resources for community residents. Project Name: Peach Tree Healthcare Prevention Navigator Program. Populations to be served: Peach Tree’s population of focus includes racial and ethnic minority, low-income young adults and older adults who are at high-risk of HIV/AIDS and substance use disorders (SUD) or co-occurring mental health conditions and SUD (COD). We will ensure racial and ethnic minority populations, as well as persons who identify as LGBTQI+, who are not in stable housing, are provided access and opportunities to receive services as part of this program. Number to be served: Year 1: 50; Year 2: 100; Year 3: 100 Year 4: 100; Year 5: 150; Life of project: 500. Project strategies/interventions: Peach Tree will use a combination of several evidence-based- interventions, including: Trauma-Informed Care, Motivational Interviewing, Medicated-Assisted Treatment, and Pre-Exposure Prophylaxis (PrEP) and Post-Exposure Prophylaxis (PEP). Project goals and measurable objectives: Our goals include: Engage and connect the population of focus to behavioral health treatment, harm reduction services, case management, and recovery support services; Increase HIV/AIDS prevention services, including testing; Improve cultural competency to improve HIV prevention services and SUD care; Decrease barriers to seeking and receiving care. Measurable objectives are as follows: (1) Each year, conduct in-reach to identify 50 individuals living with SUD and/or COD and refer them to Peach Tree’s behavioral health services; (2) Each year, 75% of individuals who screen positive for opioid use and/or other substance use during intake, will accept a referral for behavioral health services; (3) Each year, distribute 2,500 informational materials and post on social media two-times monthly to promote Peach Tree’s behavioral health services, capacity, and resources; (4) Each year, provide screening and risk assessments for HIV and Viral Hepatitis, including pre-and-post-test counseling, for 50 individuals; (5) Each year, 75% of individuals who screen positive for HIV and/or Vital Hepatitis, will accept a referral for treatment services; (6) Each year, distribute 2,500 informational materials and post on social media two-times monthly to promote Peach Tree’s HIV and other prevention services, capacity, and resources; (7) Within the first six months of award, train 100% of Peach Tree’s providers on cultural competency focusing on SUD and HIV prevention services; (8) Each year, ensure at least 25% of informational materials and posts on social media to promote Peach Tree’s behavioral health services, HIV and other prevention services, capacity, and resources are in a language other than English; (9) Each year, provide navigation services to link 50 individuals to additional support services, including benefit enrollment and housing; (10) Each year, host or participate in 10 outreach events to share information about Peach Tree’s services, capacity, and resources; reach 100 individuals at these events each year.