Missouri Department of Mental Health (DMH) proposes to work collaboratively with three communities to outreach, engage, and enroll transition-aged youth with significant behavioral health concerns in effective treatment. DMH will convene state and local entities to identify barriers to recovery for transition-aged youth and develop policies, procedures, and finding mechanisms to support transition to adulthood and recovery from serious mental illness. Project Name: MO Transition-Aged Youth Local Engagement and Recovery (MO TAY-LER). Population to be served: MO TAY-LER will serve transition-aged youth (TAY), 16-25, who have a serous emotional disturbance (SED) or a serious Mental Illness (SMI). To qualify for services through the project, TAY must be uninsured or insured through Medicaid. Strategies/Interventions: At the local level, providers will implement a Coordinated Specialty Care model to support recovery for transition-aged youth. The intervention will be supported by heavy youth/young adult involvement and a communications plan to support community education and stigma reduction. At the policy level, Project Directors will work to establish linkages between providers (including developmental disabilities organizations) to identify barriers and create policy solutions. Project Goals and Objectives: Goal 1: Improve access to care for behavioral health (BH) services by enhancing outreach strategies, improving inter-agency communication, and improving service coordination. Objective 1.1: During the first 2 years of the grant, educate 300 agency professionals at 30 agencies increasing knowledge of MO TAY-LER intensive outreach. Objective 1.2: Outreach and screen 675 TAY at 14 local hospitals to evaluate TAY for BH services, over the 5-year grant period. Objective 1.3: Outreach staff will refer and connect 360 eligible TAY to providers. Goal 2: Create a more effective approach for service delivery to support transition from youth to adult services, in accordance with the Coordinated Specialty Care (CSC) model. Objective 2.1: By month 6, 15 practitioners at the 3 local providers will be trained in CSC-model interventions. Objective 2.2: 80% of treatment engaged TAY will access employment/education support. Objective 2.3: 8% of treatment engaged TAY will experience improved recovery and resiliency, as indicated by SAMHSA tool administer at intake, every 6 months, and at discharge (GPRA measures). Goal 3: Develop advocacy agendas and strategies to secure funding and policies to meet this population's service needs. Objective 3.1: Create formal MOUs with 6 organizations in the first 6 months of the grant period to improve practices and activities in serving TAY. Objective 3.2: Form advisory board within the first 6 months of the grant period. Objective 3.3: enact 5 policy or procedural changes at the state, regional, or provider level to remove barriers to effective TAY services during the 5-year grant period.