Catholic Charities Neighborhood Services, Inc. (CCNS) will expand access to and improve the quality of integrated community behavioral health (BH) services offered at our licensed Brooklyn-based site location. We will expand access to services for adults with mental illness, children and adolescents with serious emotional disturbance (SED); individuals with substance use disorders (SUD) including opioid disorders; and individuals with co-occurring disorders (COD) in the Brooklyn neighborhoods of: Flatlands, Midwood, Kensington, Flatbush, East Flatbush, Ditmas Park, and Crown Heights. We provide comprehensive, integrated BH services to individuals from every walk of life. Many of our clients face a myriad medical, behavioral, and social conditions and challenges. Over the grant period, we will increase the number of individuals we serve to 1,400 over the two year grant funded period, with 1,000 served in the first year (numbers do not directly sum due to clients served in both years of the program). As an existing CCHBC-E grantee whose funding is ending in September of 2020, we currently meet all CCBHC criteria and will begin service delivery immediately upon grant award. Specifically, we will: (1) provide immediate access to a comprehensive range of community-based mental health and substance use disorder services, including crisis intervention and 24-hour mobile crisis response; (2) provide integrated treatment for an expanded number of individuals with COD; (3) advance integration of behavioral health (BH) with physical health through an expanded array of evidence-based practices and by partnering with local providers, including a pharmacy and FQHC; and (4) provide overall improved access and quality of care to all populations by leveraging the lived experience of individuals living with mental illness and SUD, including veterans, through increased peer involvement in the care we offer, as well as expanding our capacity to provide targeted case management and coordinate benefits for our clients to address their holistic needs, including social determinants. In Brooklyn today, we provide all CCBHC-required services (with a DCO for ACT services) in a client-centered and integrated manner. We offer immediate access to services through open-access/walk-in appointments, provide evidence based BH assessments upon intake, and promote lived experience throughout our entire behavioral health portfolio. In addition, CCNS is currently certified by NYS OMH to provide Telepsychiatry services between clinics, which we utilize as a service enhancement to ensure psychiatric coverage and medication availability for all clients, including CCBHC clients. We are currently working to expand our tele-mental health services, which will allow clients to receive both psychiatry and outpatient therapy services virtually to further expand access.