The Family Center of Brooklyn, NY (TFC) will provide a substance use disorder (SUD) and co-occurring SUD and mental health (COD) treatment and recovery program called Healthy Branches, in the high-risk Brooklyn zip codes of Bedford-Stuyvesant, Crown Heights, Bushwick, Brownsville, and East NY for primarily Black and Latinx adults at high risk for or living with HIV/AIDS, polysubstance abuse, COD, significant levels of trauma, chronic disease, extreme poverty, and barriers to care. TFC has a 28-year history providing integrated, comprehensive behavioral health services to minority Brooklyn residents impacted by COD, SUD, Serious Emotional Disturbance (SED), HIV, trauma, and the developmental risks associated with intergenerational poverty, early and single parenting, stigma associated with mental health care and immigrant groups, legal problems, and poor access to education and employment supports. Healthy Branches will serve 350 individuals over the five years of the project. Consumers will be served throughout their enrollment in the proect by a dedicated care team consisting of a Medical Director (MD), a Physician Assistant (PA), two Case Managers (CM), a Peer Recovery Support Specialist (PRSS), and an Intake Specialist (IS). The care team will provide consistent and continuous service to all consumers, from screening, assessment, testing, case management, treatment planning, linkage to medical care, harm reduction services, medication management, individual and group-based treatment for co-occurring disorders and trauma, and recovery support. The goals of the project are to 1) Increase engagement in care for racial and ethnic underrepresented individuals with SUD and COD who are at risk for, or are living with HIV/AIDS, 2) Through care coordination, case management, and peer recovery support assist individuals with SUD and COD who are at risk for, or are living with HIV/AIDS remain in care, and 3) Through integrated COD treatment, including the use of identified EBPs, assist those who are at risk for, or are living with HIV/AIDS, sustain recovery. Healthy Branches will meet the following objectives: 1) By two months from award date, commit 2 CMs and 1 PRSS to the project to connect with 100% of consumers from outreach through stable recovery, 2) 70% of consumers will receive HIV and viral Hepatitis testing at the time of enrollment, 3) 100% of those who complete a screening, assessment and diagnosis process will complete an individualized treatment plan and meet with a CM, 4)100% of consumers who test positive for HIV will recieve confirmatory testing and, if positive, engage in HIV treatment with Kings County Hospital Center (KCHC), SUNY Downstate Medical Center (SDMC) or other partner HIV medical provider, 5) 80% of those enrolled will remain in the program for a least six months, 6) 60% of consumers who initiate HIV treatment will remain in treatment for six months, 7) CMs and Peers will provide outreach and EBP Motivational Interviewing (MI) to 100% of enrolled consumers who drop out of COD and/or HIV treatment, and 40% of those dropping out will reengage in treatment following team outreach, 8) 80% of enrolled consumers will complete at least 5 contacts with the PRSS during the first 2 months of enrollment to address issues identified in their Recovery Plan, 9) 70% will demonstrate a reduction in risk behaviors associated with HIV after 6 months of services, 10) 50% of consumers engaged in treatment for SUD will indicate no past 30-day substance use after 6 months of Out Patient treatment, as measured by the GPRA, and 11) 40% of consumers will be engaged in community-based recovery support networks at discharge. Healthy Branches will fully integrate Behavioral Health treatment with ongoing support for engagement in HIV/Hepatitis C treatment and prevention, addressing inequities in access to maximize support for sustained recovery and health in an area of NYC hardest hit by the HIV epidemic.