Coastal Horizons Center Minority AIDS Initiative for High Risk Populations - Coastal Horizons a provider of mental health and substance use prevention, recovery and treatment services in Southeastern North Carolina, will increase access to services for individuals with substance use disorders and/or co-occurring substance use and mental health conditions who are at risk for or with HIV and increase testing for those at risk for Hepatitis B or C within the catchment area of New Hanover, Brunswick, Pender, Bladen and Columbus Counties. The project is known as Coastal Horizons Center Minority AIDS Initiative for High-Risk Populations. The project will serve 640 adults over five years. Serving 80 in YR1, 140 in YR2, 140 in YR3, 140 in YR4 and 140 in YR5. Goals and objectives are as follows:Reduce the prevalence of substance use, HIV, and viral hepatitis within catchment area by increasing access to evidence-based SUD programs and screening for infectious diseases. Obj1 Enhance accessibility of screening through incorporating Peer Support Specialists into mobile clinics to conduct rapid testing for HIV and HCV at a minimum of three days per week, on average throughout the life of the project. Obj2 Increase evidence-based SUD/COD treatment and recovery support services to individuals with or at risk for HIV, including screening/assessment, outpatient services, intensive outpatient services, and the use of FDA approved medication for treatment of SUDs and/or COD to 640 participants. Improve access to screening and linkage to services for individuals with or considered high-risk for HIV or Hepatitis B or C who are diagnosed with a substance use or co-occurring SUD and mental health condition. Obj1 100% of project participants will be screened for HIV, HBV, HCV, and SUD. Obj2 Link 100% of participants testing positive for HIV to medical care and case management services within 30 days. Obj3. Retain 100% of project participants who screened positive for HIV in medical care. Obj4. Establish 50% average engagement rate for project participants in Harm Reduction Services through assessing quarterly rapid testing rates. Obj5. Increase community knowledge and awareness about the importance of SUD, HIV, and Hepatitis B and C screening through targeted educational campaigns/awareness programs. Increase engagement of high-risk populations (at risk or living with HIV with SUD) in recovery support services Obj1 By 6/30/24, 60% of project participants will be engaged in peer support services, and 80% by 06/30/26, and 90% by 09/29/28.Obj2 Increase effective communication and collaboration between SAIOP facilitators and Peer Support Specialists (PSS) to promote continued engagement of project participants in recovery support services as evidence by completing a successful warm hand off to peer support services after project participants compete a three month SAIOP program as exhibited by a 50% average engagement rate in PSS.Establish a continuous quality improvement program to assess performance based on individual-level outcomes, perception of care and quality of care. Obj1 Maintain an 80% reassessment rate for project participants in completing 6-month GPRA interviews post intake Obj.2 Conduct key informant interviews/surveys to assess inclusivity and client satisfaction of service delivery to provide ongoing insight to quality improvement efforts. Obj3 Monitor and evaluate ongoing program effectiveness: Based upon key informant interviews/survey patient satisfaction scores. Increase sustainability of project initiatives beyond grant funding. Obj1 Increase the number of eligible billable units by Peer Support Specialists Obj2 Advocate for funding at the local, state, and federal level utilizing data to support program needs and advocate for funding/reimbursement rates. Obj3 Utilize internal advisory board to obtain recommendations to guide development of a sustainability plan Obj.4 In year four, identify two funding opportunities/sources or establish MOAs with new community partners to support sustainability