Flushing Hospital CCBHC - Flushing Hospital Medical Center will implement the Flushing Hospital CCBHC project to expand access to comprehensive behavioral health services for adults, adolescents, and children in Queens, New York with a serious mental illness or substance use disorder, co-occurring disorders, or a serious emotional disturbance. The CCBHC, which will be certified by December 31, 2020, will serve 250 people in year 1 and 500 throughout the life of the project. Among the hospital’s racially and ethnically diverse urban service area population (769,666), many adults with psychiatric problems are not receiving counseling or medication treatment; chronic physical conditions commonly occur with mental and substance use disorders; admissions for substance use disorders remains high, particularly for opioid use disorders; and multiple barriers to seeking treatment exist, including poverty, lack of health insurance, poor English-speaking skills, and cultural stigma. The goals of the Flushing Hospital CBHC are to: (1) provide access to comprehensive 24/7 community-based services, treatment of co-occurring disorders, and physical health care; (2) improve treatment compliance and follow-up for patients with substance use disorders; (3) expand primary care services and enhance physical health outcomes with patients having a serious mental illness or substance use disorder who are at increased risk for co-occurring physical disorders; and (4) improve prevention services for patients at risk for opioid use disorder, improve access to opioid use disorder treatment services, and improve treatment outcomes for patients with opioid use disorder. Its objectives are to reduce the number of patients that leave against medical advice and increase the number of patients receiving inpatient rehabilitation and Medication Assisted Treatment and screened for diabetes and tobacco use. In addition, it will establish an Ancillary Withdrawal Management Program and expand primary care services in its outpatient mental health and addictions services clinics, screening for HIV and viral hepatitis, and providing hepatitis vaccinations. The Flushing Hospital CCBHC will hire additional staff to support the expansion of treatment services and provide the necessary clinical and administrative supports, including an evaluator, program coordinator, family nurse practitioner, CASAC, QA/PI coordinator, patient navigator, peer advocate, and data entry clerk. Jamaica Hospital Medical Center’s Comprehensive Psychiatric Emergency Program, licensed under New York State’s network of crisis mental health services, will provide mobile crisis services to adults and children. The clinic will work with designated collaborating organizations to provide inpatient rehabilitation, Assisted Community Treatment, case management, care coordination, Assisted Outpatient Treatment, child/adolescent, and veterans’ services, and other social support opportunities.