Summary. Hinds Behavioral Health Services a licensed substance use treatment and mental health provider with 51 years of experience and a 16-year proven track record of serving racial and ethnic populations at great risk for HIV and viral hepatitis, will implement the Comprehensive Access to Recovery and Empowerment (CARE) program in partnership with My Brothers Keeper to increase engagement in care for racial and ethnic medically underserved individuals with substance use disorders (SUD) and/or co-occurring substance use and mental disorders (COD) who are at risk for, or are living with HIV/AIDS and receive HIV/AIDS services, treatment and reside in Hinds County. Project Name: CARE. Population: Ages 18+ in need of SUD and/or COD outpatient treatment; 100% trauma-involved; 40% COD; 20% HIV+; 3% viral hepatitis+; 85% African American; 5% Multiracial; 3% Hispanic/Latinx; 85% Male (YMSM and/or MSM); 2% Transgender; and/or 8% Bisexual, Gender Non-Confirming. Strategies/Interventions: Behavioral health screening and assessment, trauma-informed SUD/COD outpatient treatment (in-person and telehealth videoconferencing) coupled with strengths-based case management and care coordination, HIV, viral hepatitis testing, diagnosis and linkage to HIV/AIDS case management, HIV medical care and ART, PrEP; primary care; and wraparound culturally and trauma-informed peer recovery support and linkages to housing, education/employment. EBPs: Motivational Interviewing (MI); Strengths-Based Case Management (SBCM); HIV Navigation Services (for HIV+); Living in the Face of Trauma (LIFT for HIV+); Seeking Safety (High-Risk negatives); Many Men Many Voices (3MV); Affirmative Therapy (Transgender); MATRIX Model; Living in Balance; peer-led Many Men Many Voices (3MV) and Wellness Recovery Action Plan (WRAP). Goals: 1) Prevent New HIV Infections and Increase Engagement in Care; 2) Improve HIV-related health outcomes of racial/ethnic minorities living with HIV; 3) Reduce HIV-related disparities and health inequities; 4) Improve abstinence; 5) Ensure individualized trauma-informed recovery-oriented wraparound care; 6) Improve care coordination and treatment retention; and 7) Achieve integrated, coordinated efforts that address the HIV epidemic. Measurable Objectives: 1) 100% of clients screened for SUD/COD, HIV, and viral hepatitis at intake and 100% of drug-using and/or sexual partners will be linked to HIV and viral hepatitis testing; 2) 100% of clients testing HIV negative will be immediately linked to PrEP, PEP, STI and HIV risk reduction education; 3) 100% of clients testing HIV + will be immediately linked to HIV/AIDS treatment; 4) 100% of clients will be screened for viral hepatitis and will be immediately linked to Hepatitis (B and C) vaccination; 5) 80% will improve abstinence; 6) 80% will improve health/behavioral/social consequences 7) 80% of clients will improve social connectedness and retention; 8) 80% of clients will improve education and/or employment status; 9) 80% will reduce criminal justice involvement; 10) 80% of clients reporting housing needs will improve housing stability; 11) 80% will be retained in care; and 12) 100% timely biannual reporting. # To be served: 50 (Year(s) 1-5), totaling 250 within five years.