The Emergency Expansion of Multisystemic Suicide Prevention and Treatment across Colorado in Response to COVID-19 Project is designed to significantly increase the availability of mental and behavioral health services to treat suicidality in Colorado. This will be accomplished by increasing capacity to treat at the Psychological Services Center and partner providers around the state. The project aims to increase the use of evidence-based practices to treat both clients and frontline workers, with a focus on adults 25 or older who are under and uninsured, domestic violence victims, and/or individuals with substance use disorders. Our catchment area is the State of Colorado, which is composed of approximately 5.8 million people living in urban, suburban, rural, and agricultural communities. Before the COVID-19 pandemic, Colorado ranked as 7th highest in number of deaths by suicide, with an average suicide rate almost 1.5 times that of the national average. Additionally, suicide was the 7th leading cause of death in the Colorado in 2018, and data show a disproportionate rate of suicide by geographic location, with age-adjusted rates of suicide in rural and agricultural regions of Colorado significantly higher than rates in urban areas. The goals of this proposal are to decrease suicidality in Colorado by implementing evidence-based practices and training partnered providers in the use of evidence-based practices; increase the Psychological Services Center's capacity and the capacity of partnered providers to provide direct services to prevent and treat suicidality in the state of Colorado; and to decrease suicidality among frontline workers responding to COVID-19 through education, training, and treatment. The objectives to be accomplished during the grant period are: the project direct will hire and the clinical trainer will train 5 new clinical staff, the clinical staff will start providing services by the 3rd month; the clinical trainer will provide suicide risk assessment and intervention training to at least 5 partner providers by the 5th month; the communications director and rural outreach director will develop a minimum of 6 additional partnerships with service providers around Colorado by the 6th month; the community outreach director and consultant will modify the RCHC by the 3rd month and the communications outreach director will deliver a minimum of 16 mRCHC groups serving approximately 120 frontline providers; the Integrated Suicide Treatment Team will increase the current caseload of the Psychological Services Center by at least 50%, providing services to at least 60 new clients, 25 of whom are victims of domestic violence; the Social Work Assistant will connect with at least 75 clients, at least 25 of whom are victims of domestic violence, with social services and COVID19 related relief services over the project period. The Assessment Director will be responsible for all data reporting. The Assessment Director will submit required clinical data, performance assessments, updates on accomplishments and barriers, and a detailed summary of our progress reports using SAMHSA's Performance and Accountability Reporting System at the required times.