Project Name: Certified Community Behavioral Health Clinic Expansion Grants. The purpose of the program is to increase access to and improve the quality of community behavioral health services provided by Compass Health throughout their twenty-five (25) county catchment area. Priority focus will be directed to uninsured and underinsured individuals with Serious Mental Illness (SMI), Substance Use Disorders (SUD), Serious Emotional Disturbance (SED) and/or Co-Occurring Disorders (COD). Population To Be Served: The population of focus are individuals who are uninsured and/or under-insured who have SMI, SUD, SED, and/or COD. The population of focus are considered to be the working poor. The program will serve 3,000 additional individuals during the 2-year period. Demographic and Clinical Characteristics of Population: Predominately Caucasian (94.04%) with nearly a third (28.66%) of the population living at or below poverty. Targeted populations include those uninsured and underinsured individuals with SMI, SUD, SED and/or COD. Realizing there is a slight growth in Hispanic population, specialized attention will be placed on this population. Interventions: The CCBHC expansion grant will allow Compass Health to increase access to quality healthcare services for uninsured and underinsured Missouri residents. In addition to all required CCBHC requirements, Compass Health will address: 1) clinical monitoring for adverse effects of medications including monitoring for metabolic syndrome; 2) create social support opportunities through the clubhouse model; 3) provide and support the Assertive Community Treatment model; 4) establish cooperative relationships with judicial system to provide Assisted Outpatient Treatment; 5) establish an Advisory Work Group consisting of customers of CCBHC programming and 6) clinical engagement on active and retired military. In addition to these activities, Compass Health will engage with local housing authorities and participate in state and national CCBHC learning collaboratives. Project Goals and Objectives: 1) Increase responsiveness and achievement with current CCBHC Quality Based Metrics – inclusive of the population of focus. Objective: Achieve compliance with the established metrics; 2) Ensure appropriate capacity of Compass Health professional staff to deliver evidence-based practices in a culturally and linguistically manner. Objective: Training opportunities in current evidence-based practices, including increase in data wavered psychiatrists; 3) Increase the number of underinsured and uninsured individuals with SMI, SUD, SED and/or COD who engage in health care programming. Objective: Targeted outreach with community partners for wraparound services; 4) Ensure the availability of culturally and developmentally appropriate wraparound and recovery support services for the population of focus. Objective: Increase efforts to develop and provide wraparound services required for achievement of optimal health and wellness; 5) Ensure an effective and inclusive mechanism is in place for CCBHC expansion. Objective: Creation of the Advisory Work Group providing direction and insight on CCBHC operations.