Latinx health disparities are well-documented, yet most systems providing services to Latinx communities continue to maintain the status quo. The expectation is that Latinx communities will change and fit into a model of healthcare delivery that is inequitable and, at times, culturally oppressive. From ACES to the social determinants of health, oftentimes, Latinx communities are blamed for many of the environmental and discriminatory systems we exist within. Presenters will contextually situate, within an anti-racist framework, the relationships between immigration status, income, education, occupation, SES, and their role in maintaining healthcare disparities and what systems can do to better meet the needs of Latinx/Latine communities. Learning Objectives: Upon completion of the workshop, attendees will be able to: 1) Describe how disparities in Latinx/Latine communities impact seeking treatment, access to treatment, and treatment outcomes. 2) Explain the relationship among income, occupation, education, and socioeconomic status that impact disparities in healthcare among Latinx/Latine communities. 3) Describe two ways providers can improve access to substance use treatment, service use, and treatment outcomes among Latinx/Latine communities. The presentation will be 60 minutes, with an additional 15 minutes dedicated to Q&A for a total of 75 minutes.