Project Supporting Treatment & Recovery from Opioid Withdrawals (STROW) - Special Health Resources for Texas, Inc. (SHR) seeks funding to bridge the behavioral health gap present in East Texas preventing racial/ethnic minorities from having equal access to evidence-based, trauma-informed, and recovery-oriented substance abuse treatment. Project Supporting Treatment & Recovery from Opioid Withdrawals (STROW) proposes to increase access to high-quality, comprehensive, and coordinated services to 350 individuals of racial/ethnic minority background with a substance use disorder or co-occurring substance use and mental health disorder and who are living with or at risk for HIV and hepatitis infection. The Project STROW treatment model will be based on a combination of evidence-based practices in coordination with recovery support services and medical care. SHR proposes a combination of EBPs recommended by SAMHSA or the CDC which have been shown to produce positive outcomes in the population of focus. These interventions are: Seeking Safety, Cognitive Behavioral Therapy, Foundations of HIV Testing and Navigation, and Personalized Cognitive Counseling. The proposed treatment model will be implemented under the umbrella of trauma-informed care and include hope, person-driven, safety, trustworthiness, transparency, and collaboration as its main components. Further advancing health equity, Project STROW will make services available via telehealth or in person, based on each client's preference. The following are the proposed measurable goals: 1) To establish a high-quality, evidence-based, treatment model to deliver, coordinated treatment to ethnic/racial minority adults with SUD/COD, living or at risk for HIV/Hepatitis infection. 2) Increase access to and engagement in SUC/COD, trauma-informed, recovery-oriented, high-quality, coordinated treatment for ethnic/minority adults with SUD/COD at risk or living with HIV/Hep. 3) Increase the number of racial/ethnic minority adults with SUD/COD living with or at risk for HIV/Hepatitis who receive HIV/AIDS and hepatitis services/treatment and prevention services. 4) To evaluate, analyze, and report on project processes and outcomes as measured by the collection of GPRA, dosage, and other local data. To fulfill the purpose of the grant, SHR will assign/hire experienced staff that includes a Project Director, Project Coordinator, two Licensed Chemical Dependency Counselors, one Licensed Professional Counselor, a Case Manager, a Peer Recovery Specialist, and an Evaluator