The Bellefaire JCB and Applewood Centers, Inc. CMHC partnership will increase capacity and access to behavioral health services in three counties in northeast Ohio—Cuyahoga, Lorain, and Medina—and target children and youth, ages 12 to 22, with serious emotional disturbances (SED), serious mental illnesses (SMI) and co-occurring substance use disorders (COD) and their families, including justice involved youth, youth in custody, and moderate developmental delays. This partnership will serve 500 individual clients annually and 1,000 over the course of the project. Addressing all mental health diagnoses yet specifically targeting the dramatic upward trend in depression and anxiety in this cohort as a result of the COVID-19 pandemic, this partnership will deploy group and individual in-person and telehealth services in schools and in community-based outpatient settings so as to ameliorate the behavioral health challenges that have reached critical proportions. Included in this project will be compassion fatigue interventions for providers so as to ensure their wellbeing and ability to sustain exceptional service provision throughout the life of the project. To accomplish the goal of successfully reducing symptoms and substance use, evidence-based practices (EBPs) will be mobilized to achieve project goals and measureable objectives. Interpersonal Psychotherapy for Adolescents and Interpersonal Psychotherapy-Adolescent Skills Training will address depression diagnoses; Cognitive Behavioral Therapy and Trauma-Focused Cognitive Behavioral Therapy will address anxiety; and Motivational Interviewing overlay therapeutic interventions to address co-occurring substance use disorders. With the goal of increasing SMI, SED, and COD prevention and treatment capacities in the catchment area achieving the measureable objective of 75% of youth served showing improved outcomes as a result of program participation and treatment delivery this partnership will draw from a staff complement of over 80 full- and part-time Master’s level, licensed therapists to deliver group and individual services across 166 schools in the catchment area along with one-on-one, individualized, family centered, strength based treatment in community- and office-based settings and via telehealth. With the goal of providing trauma-informed screening, assessment, diagnosis, patient-centered treatment planning, and clinical and recovery support services, intake and case management and care coordination teams will use Vroon Vandenberg High Fidelity Wraparound so as to ensure services are patient centered, culturally competent, strength based, and that clinical and recovery support services are in place as youth step down from services.