The Bureau of Alcohol and Drug Use Prevention, Care, and Treatment (BADUPCT) works to close gaps and reduce overall morbidity and mortality related to alcohol and substance use among New Yorkers. BADUPCT develops, implements, and evaluates interventions and prevention strategies through contracting of treatment, recovery and support services; policy analysis and development; epidemiology and surveillance; dissemination of treatment and management guidelines; harm reduction initiatives; public and provider outreach and education; and community involvement and interagency collaboration. The Bureau amplifies the voices of those most impacted and focuses on inequitable structural, social, service, and communication factors that drive disparities. The Prevention and Treatment Systems Support Unit (PTSSU) works across the substance use continuum of care to enhance community wellness and guide providers of prevention, treatment and support services. PTSSU promotes and educates providers and internal team on how health equity, race, gender, and social determinants of health impact substance misuse. We employ public health and harm reduction approaches to respond and listen to the needs of our provider and coalition communities in order to promote equitable policies, best practices, and innovation.