Southcentral Foundation (SCF), through its primary care center and behavioral health programs, respectively, the Anchorage Native Primary Care Center (ANPCC) and Fireweed Center, will work with other SCF health programs to reduce unmet mental health and substance use disorder treatment needs related to COVID-19 through the provision of screening, prevention, treatment and recovery activities by increasing access to culturally appropriate and evidence-based treatment over a sixteen month period. The ANPCC is a major health center located on the Alaska Native Health Campus located central to Anchorage charged with the health of the Alaska Natives and American Indians (AN/AI) in the Anchorage Indian Health Service Unit. Along with the Alaska Native Medical Center (co-owned and operated by SCF and the Alaska Native Tribal Health Consortium) are the central points for testing and treating those impacted by COVID-19. For this project, ANPCC will refer all or most of those needing treatment for mental health and/or substance use disorders exacerbated by COVID-19 to the SCF Fireweed Clinic, also located on the Alaska Native Health Campus. Fireweed Clinic provides behavioral health services for Alaska Native and American Indian people including adults, children, and adolescents. This project will strengthen the integrated health system during this time of great need by pulling much needed behavioral health capacity into the process of addressing the impacts of COVID-19 within the Native community of Anchorage. The primary objectives are: 1) Review, assess, and document current service delivery to address gaps and use of telehealth; 2) Screen and assess 500 AN/AI Customer-Owners who visit the ANPCC needing mental health and/or substance use disorder treatment based on the SAMHSA required ratio of service recipients; 3) Provide mental health and substance use disorder treatment and related services to 500 AN/AI Customer-Owners who visit the ANPCC needing treatment; 4) Provide recovery services to 500 AN/AI Customer-Owners who receive mental health and substance use disorder treatment; and, 5) Analyze and enhance the development of the SCF Mental Health Crisis Services to address pandemics such as COVID-19 to include further exploration of elements of crisis management. The plan includes sharing lessons learned, experiences throughout the process, and successful events as a result of the project.