Project Name: Southwest Center – Recovery-Oriented Culturally Holistic Project. Southwest Center for HIV/AIDS (SWC) is prepared to strategically outreach and engage medically underserved racial and ethnic individuals at risk for or living with HIV through diverse partners and community linkages. SWC-ROCH project will expand services for substance use disorders (SUDs)/mental health conditions (COD) offering a status-neutral approach to deliver whole-person care – HIV/Viral Hep A&C services in Maricopa County, AZ. Population served: SWC-ROCH project specifically targets Black men, Latino men, Latino youth/young adults, and Black women at risk for or living with HIV in Maricopa County, Arizona (priority jurisdictions CDC - Ending the HIV Epidemic (EHE). Strategies/Interventions: Outreach, diverse network Chicanos Por La Causa and one-n-ten, testing/engagement, case management, peer navigators, SUD/COD treatment, and Evidence-Based Practices/Services (e.g., Matrix Model, SMART Recovery, Cognitive Behavioral Therapy, Intensive Outpatient Programs). Goals/Measurable Objectives: Goal 1) Expand ongoing efforts in Maricopa County, AZ to strategically engage medically underserved racial and ethnic individuals at risk for or living with HIV by offering a status-neutral approach to deliver whole-person care – a syndemic approach – weaving access to substance use disorders (SUDs), mental health conditions (COD), HIV, and viral hepatitis services, and treatments. Objective 1.1. Expand outreach strategic activities in diverse underserved communities to engage target population offering status-neutral SUDs and/or co-occurring SUDs/COD treatment and recovery support services as measured annually by 2 diverse partnerships, 4 outreach activities, 760 unduplicated clients, and 100 referrals for self-test kits. Objective 1.2. Expand capacity to provide evidence-based SUDs/COD treatment and recovery support services target population offering 2 Intensive Outpatient Programs (IOPs) 1) Adult IOPs LGBTQIA2S+ as measured by 60 adults annually served; and 2) Youth IOPs for ages 14-17 as measured by 30 youth annually served. Objective 1.3 Provide evidence-based SUD/COD treatment and recovery support services for target population as measured annually by 2,600 outpatient services (3 sessions per week) and 100 referrals to Valleywise FDA medications. Objective 1.4. Offer participants and their partners who use drugs and/or sexual partners HIV rapid prelim antibody testing rapid fourth-generation HIV testing as measured by 2,000 HIV tests. Goal 2) SWC aims to reduce prevalence of SUD/COD/HIV/Viral Hep A&C increasing access/linkage to HIV treatment for target population with SUDs living with HIV. Objective 2.1. Provide on-site prelim HIV testing to increase linkage when positive to confirmatory testing, status-neutral follow-up as measured annually by 2,000 screenings/assessments; 250 clients connected with SUD/COD services; 20 preliminary assessments of clients connected to Ryan White services; and 1,000 Hepatitis B and C tests. Objective 2.2. Provide education, case management, referrals/ linkages to PrEP services as measured by 300 clients with PrEP services (negative HIV) same-day appointments, 2,000 clients PrEP education, and 50% clients PrEP compliance. Objective 2.3. Provide education, case management, and referral/linkages to PEP services as measured by 55 clients same-day appointments with SWC providers, 55 clients PEP education, and 55 clients offered a transition to PrEP services. Objective 2.4. Provide SUD/COD certifications for EB practices and services including Matrix IOP, SMART Recovery as measured by completion of 2 certification. SWC-ROCH project will provide 4,300 unduplicated individuals with services during the 5-year project period.