Calhoun County CCBHC is a project of the Calhoun County Community Mental Health Authority (CCCMHA), hereafter referred to as Summit Pointe, to improve the health of individuals in the county while advancing integration of behavioral health and physical health care, increasing use of evidence-based practices, and expanding capacity, access, and availability to high quality care. The population of focus is Adults with Serious Mental Illness (SMI), Adults with Substance Use Disorders (SUD), Children/Adolescents with Serious Emotional Disturbance (SED), and Youth and Adults with co-occurring Substance Use Disorders (COD). Calhoun County’s population is 133,952 with 30,478 youth under the age of 18 and 9,976 veterans. Demographic make-up shows 79.88% Caucasian, 10.99% African American, 2.84% Asian, .68% American Indian, .04% Native Hawaiian. Hispanic/Latino is 5.33% of the total population. Gender make-up is 48.93% male; 51.07% female. Summit Pointe’s strategy will provide crisis mental health services, screening, assessment and diagnosis, patient centered treatment planning, risk assessment and crisis planning, outpatient behavioral health services, outpatient primary care screening and monitoring of health indicators and risks, clinical monitoring for adverse effects of medications, targeted case management, psychiatric rehabilitation services social rehabilitation programming, peer recovery supports, veterans’ behavioral health services, and Assertive Community Treatment. Evidence based practices include: SBIRT, Motivational Interviewing, and Seeking Safety. Goal 1. Increase access to behavioral health services for population of focus. Objective 1a) Summit Pointe and DCO outreach staff will provide contacts to 800 people in the community by end of year 2. Objective 1b) 1200 individuals by end of Year 2. Goal 2. Deliver comprehensive and coordinated care that provides access to effective evidence based interventions for individuals with complex needs. Objective 2a) Provide evidence based treatment for 100% CCBHC enrolled individuals. Objective 2b) Provide care coordination for 100% CCBHC enrolled individuals. Objective 2c) Increase number of individuals receiving SUD services from implementation baseline by 100% by end of year 2. Goal 3. Deliver integrated care for behavioral health and physical health risks and needs. Objective 3a) 95% or more of enrolled individuals will receive primary care screening and monitoring of health indicators and risks as identified in CCBHC Quality Measures. Objective 3b) Nurse Care Coordinators will be assigned to 100% individuals identified with high behavioral and health risks as determined by screenings completed. All individuals with SMI/SED/SUD/COD served by Summit Pointe will be eligible to participate with the CCBHC. Individuals enrolled in the grant portion of the CCBHC will be those who consent to the evaluation including new individuals entering care and current individuals eligible for CCBHC services. Project will serve 250 individuals Year 1, 250 individuals Year 2 for a total of 500 unduplicated individuals.