First Step of Sarasota (FS) is a CARF accredited, licensed, comprehensive non-profit behavioral health (BH) treatment and recovery organization, 501(c)3 with an emphasis on substance use disorders of over 50 years. In November 2019, FS entered into an agreement to acquire Coastal Behavioral Healthcare, a similarly licensed non-profit organization providing mental health and substance use treatment services for nearly 40 years. Currently, Coastal is a wholly owned subsidiary of FS, together providing a comprehensive array of BH services in Sarasota County. FS, in collaboration with designated collaborative organizations, is seeking to expand BH crisis intervention and support services in Sarasota County, FL. The proposed Certified Community Behavioral Health Clinic of Sarasota County Project (CCBHC) will use a collective impact planning and implementation process to enhance and expand mental health, substance use, and primary care service access to vulnerable adults and children. The CCBHC will serve 550 at risk adults and children within Year 1 (approximately 1,500 in a 2-year period) and outreach an estimated 3,000 over the 2-year funding period. FS will establish CCBHC certification within four months of grant award. The population of focus and emphasis will be to reach greater percentages of uninsured, underinsured, individuals identifying as veterans, women, and racial/ethnic minorities (e.g. African American, Hispanic/Latino, Mixed and other). The CCBHC participants will enter the project following identification through expanded BH crisis supports including a newly established 24/7 crisis helpline. The CCBHC Project Overarching Project Goal: Increase mental health, substance use, and primary care service access to best meet the needs of Sarasota’s uninsured and underserved populations at risk for suicide and substance abuse including opioid overdose and harm to self or others. Overarching Project Objective: Increase access to care by expanding capacity of integrated mental health, substance use strategies and/or treatment, primary care services, and peer recovery supports for uninsured and underinsured individuals, veterans, women, and their peers/partners. We will implement the Wellness Recovery Action Plan or WRAP, an evidence-based prevention and wellness process. WRAP will provide a framework for peer recovery specialists to work with CCBHC participants and enhance crisis, recovery, and wellness support services. We will also use Motivational Interviewing Approaches, a goal-directed, person-centered counseling style for eliciting behavioral change by helping clients to explore and resolve ambivalence. FS values quality improvement as a capacity building activity and will conduct ongoing evaluation of program activities using process and outcome data to inform ongoing needs assessment and service planning.