Compass Health, Inc. d/b/a Compass Health Network is in the process of applying for a grant offered from the Department of Health and Human Services and the Substance Abuse and Mental Health Services Administration entitled FY2023 Cooperative Agreements for 988 Suicide and Crisis Lifeline Center Follow-Up Programs (Short Title: Crisis Center Follow-Up). The three-year grant program is intended to expand efforts among Lifeline crisis centers to support individuals post-contact to provide continued support and linkages to decrease suicide risk. Ur project title, Compass Health 988 Follow Up Program, is requesting funding from SAMHSA to enhance current efforts being developed and delivered within a four-county service region in Missouri (Cass, Henry, Hickory, and Vernon Counties). The service region is predominantly Caucasian, with 91% of the service region comprising this race, with 11.75% of the population lacking access to insurance and more than 12% of the population enrolled in state Medicaid. The number served will depend on the number of regional calls made to the 988 system for this region, but we anticipate the following for those in which we will engage in clinical programming post contact with 988: YR1: 75; YR2: 100; YR3: 125. Additional individuals in crisis may be engaged and served beyond this anticipated count. With this program, it is the goal of SAMHSA and our system to significantly enhance continuity of care with engagement of hospitals, behavioral health organizations and services, as well as 911/PSAP’s (Public Safety Answering Points), MCO and police, to safeguard and ultimately improve the well-being of individuals who are at risk of suicide. Compass Health plans to support the required personnel (Project Director and Project Evaluator) as well as hire 2.00 FTE 911 Diversion Coordinators and 2.00 FTE Peer Specialists to assist in the program development and implementation of all coordination activities and follow-up care coordination. This will include direct work with local PSAP providers that directly interface with the 988 system. In collaboration with the Missouri Behavioral Health Council and selected 988/911 community partners, we are proposing to implement four regional Centers of Excellence with 988 providers and 911 PSAP providers to support engagement, collaboration, and interoperability. The Centers of Excellence in each of the four listed counties will implement 911/988 interoperability practices in their respective regions and utilize lessons learned to devise a strategy to implement and support 911/988 interoperability statewide across Missouri. Core activities of each Center of Excellence will include the following: 1) needs and opportunity assessment; 2) coordination and engagement activities – including engagement with community health care providers in each community to support follow-up care post contact; 3) implementation of 911/988 interoperability; 4) development of 911/988 training resources and tools to strengthen the existing system and for replicability; 5) sustainability planning to ensure continuity of funding and care coordination activities. The experiences that each of these centers in establishing interoperability will be utilized to create a blueprint for outreach, education, training and standards that can be leveraged by other 988 call centers, PSAP’s and CCBHC’s throughout Missouri. All required activities and objectives, as set forth by SAMHSA, will be addressed and tracked.