The Nevada System of Care (SOC) aims to sustain and build upon the successful foundation and progress achieved under the 2015-2019 SOC implementation grant while expanding evidence-based services and supports for children/youth (ages birth to 21) who experience (or are at risk of) SED and their families. Nevada intends to expand and enhance services in Northern and Southern Nevada and expand services to additional rural and frontier areas of the state. The family-run organization, Nevada Parents Encouraging Parents (PEP) and the youth-run organization, Youth M.O.V.E. Nevada, are authentically engaged in all aspects of the SOC. Representatives of these organizations will continue to participate in strategic and finance planning, implementation, and in the continuous quality improvement of the SOC. Under the current implementation grant, in FY 2017 Wraparound In Nevada (WIN) served 696 children/youth and served an additional 365 children/youth in FY 2018 statewide. Under this expansion grant, we propose that the unduplicated number of individuals served annually will be 1,788 and the unduplicated number of individuals served over the lifetime of the grant period will be 5,964. Our outcomes will be measured not only by tracking the total number of children/youth served, but also by several more specific measures. For example, we will assess the quality, fidelity, and appropriateness of the services (e.g., WFI-EZ, DART, and FOCUS fidelity benchmarks and checklists); assess the improvement experienced by the children/youth and their families in key outcomes (e.g., CIS, CANS, and CGSQ); and measure our success rates at serving the targeted subpopulations. Within the main target population, we have identified a need to better serve children/youth with early signs and symptoms of serious mental illness, including those who have experienced their first episode of psychosis. Three subpopulations have been identified as particularly in need of services, including early childhood (ages 0-6), transitional age youth (14-21), and children/youth with dual diagnosis SED and ID/DD. Based on priorities that emerged from the current SOC implementation grant, Nevada is proposing the following expansions: (1) Increase capacity to provide family-driven, youth-guided, and culturally and linguistically appropriate services to a greater number of children/youth in the state. (2) Increase access to mental health services through a “single point of entry” system. (3) Improve care coordination and services at the appropriate intensity level that matches youth and family needs. (4) Increase access to evidence-based mental health interventions by expanding the service array. (5) Increase capacity of services to special target populations, such as early childhood (ages 0-6), transitional age youth (14-21), and youth with dual diagnosis (SED & ID/DD).