The CCBHC Expansion Project funding will enable Child and Family Services CFS to expand its existing services and enhance its capacity to reach the unserved and underserved with in the greater New Bedford and Fall River areas with no limitation on the consumer's ability to pay. Over 20 programs currently serve more than 12,000 individuals and families each year facing some of life's most distressing challenges; substance use, co-occurring disorders, serious mental illness and children with serious emotional disturbance. Grant funding will offer this population, with particular attention given to veterans, individuals involved in the justice system and/or protective services, the LGBTQ community, transitional aged youth, the Hispanic or Latino community, and older adults, a seamless array of treatment options with one point of access and allow for better coordination of care. Funding will augment our existing services with the expansion/implementation of Adolescent Community Reinforcement Approach A-CRA, Motivational Interviewing MI, and Trauma-Focused Cognitive Behavioral Therapy TF-CBT. A key initiative will be to reduce the wait list of approximately 300 consumers by 50 percent in the first year and another 25 percent in the second year. This will enable timely access to psychiatry and clinical service. CFS will establish and implement medication assisted treatment for clients with substance use disorder. The CCBHC Expansion Project will increase our ability to train providers in Medication Assisted Treatment MAT and allocate resources to hire 9 clinicians, 1 nurse practitioner, and 1 registered nurse, to support the MAT. Additionally, it will allow us to hire care coordinators, family partners, case managers, recovery specialists, and peer specialists. The expanded outpatient presence will increase the volume of consumers served by 500 int he first year and 6000 in the second year. It will enhance resources available to our most vulnerable population and provide person-centered, coordinated, comprehensive, care while monitoring key health and behavioral indicators. CFS will establish a team to review and monitor utilization and cost to evaluate alternative payment models.