Gay Men’s Health Crisis (GMHC) will provide a range of behavioral health and recovery support services to increase engagement in care for racial and ethnic medically underserved individuals with substance use disorders (SUDs) and/or co-occurring SUDs and mental health conditions (COD) who are at-risk for or living with HIV. In close collaboration with key partners, including Housing Works, which operates two (2) NYS Office of Addiction Services and Supports (OASAS)-licensed treatment facilities, GMHC will take a syndemic approach to SUD, HIV, and viral hepatitis by providing SUD treatment to medically underserved racial and ethnic individuals at-risk for or living with HIV. GMHC will serve the EHE U.S. Priority Jurisdiction: New York (Bronx County, Kings County, New York County, and Queens County), and we will serve a total of 1,200 individuals over 5 years.