Behavioral Health Integration Initiative - The Shoshone-Bannock Tribal Health and Human Services (THHS) is seeking grant funding to establish a much needed integrated and coordinated system of Behavioral Health Care to improve treatment services for patients with mental health, substance use disorder, and/or co-occurring disorders. Currently, our patients receive quality care from two separate behavioral health programs: The Counseling and Family Service program who serves patients with mental health disorders and the Four Directions Treatment Center who delivers substance use disorder treatment. The programs both employ highly qualified personnel and deliver excellent patient services. However, they operate within two separate management and service delivery systems, with separate program managers, staff, policies, procedures, intake, and assessment tools; and, are located in separate buildings. This grant will provide targeted support and resources necessary to restructure/reorganize current behavior health program operations. The grant work will create an “Integrated and Coordinated Behavior Health Care System” that will result in holistic patient treatment. The reorganized programs will deliver services through a Patient Medical Home Care within a unified management and operation system. THHS will use grant funds to plan, develop, and implement the proposed Integrated and Coordinated Behavior Health Care System. Grant activities include: Reorganizing the CFS and FDTC behavior health programs into one unified system; Creating new behavioral health positions, including a Behavior Health Program Manager and Clinical Supervisors; implementation of best practice integrated treatment models; provision of staff cross training to disseminate information and skills about treating patients with co-occurring disorders. Training will include cultural sensitivity training for all Behavioral Health staff; Electronic Health Record (EHR) best practice for substance use disorder patient documentation and treatment planning and continuity of care, which will enable the FDTC to bill for treatment services, and process mapping and training to increase coordination with primary care providers. The reorganized system will apply evidence based practices including: Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and Motivational Interviewing (MI), American Society of Addiction Medicine (ASAM), Moral Reconation Therapy (MRT), Substance Use Disorder treatment groups and Peer Recovery Support services. This grant includes contract funds for legal assistance to ensure the Substance disorder components of behavioral health would have appropriate access and use of electronic health information. THHS expects the implementation of grant activities and achievement of grant goals will produce the following positive patient outcomes: Increased primary care coordination, reduced substance use, improvement in psychiatric symptoms and functioning, decreased hospitalization, improve patient data analysis, improve quality of life and reclaim native psychological brilliance. This project will become self-sustaining because the restructuring plan will increase Behavioral Health treatment revenue, which can sustain the program and a portion will be dedicated to a building fund to provide a residential treatment facility to improve access to residential substance use disorder treatment.