CenterPointe of Lincoln, NE currently serves 2,848 people with serious mental illness or serious emotional disturbance, nearly all of whom (90%) have co-occurring substance use disorders. CCBHC funding will allow us to build upon our nearly 50 years of providing award-winning integrated substance use disorder and mental health care by expanding capacity for primary health care screening, treatment and monitoring, and wellness programs for our current population and new enrollees. CenterPointe will also expand services for children and adolescents each year, providing the following: a) crisis and outreach services; b) screening, assessment and diagnosis; and c) outpatient treatment, parent/ peer support and case management. These strategies will allow us to fill significant identified gaps in outpatient primary care screening and monitoring of key health indicators and wellness interventions for adults, along with serious gaps in crisis services, timely mental health and substance use screening and assessments, family-based and other evidence-based outpatient services for children and adolescents. The US Census indicates 464,370 people reside in the 16-county service region. Prevalence estimates indicate that 6,949 youth in the area will experience first episode psychosis or bi-polar disorder each year and that 4,453 have a co-occurring substance use condition. About 800 children of 2400 served in inpatient care last year did not meet hospitalization criteria but needed crisis and follow-up care. The project goals are: 1) Meet all CCBHC requirements by month 4 of the award period (most infrastructure is already in place); 2) Establish universal screening assessment and monitoring for mental health, substance use disorder and physical health conditions (40% of all enrollees in year 1 and 80% of enrollees by year two); 3) Expand access to crisis services for children and adolescents to serve an additional 350 clients via 24/7 crisis phone line in the first year and another 150 clients the second year, along with providing an additional 50 on-site crisis interventions in year one, and 100 additional in year 2; 4) Increase access to screening, assessment, diagnosis for 150 youth in year 1 and 400 in year 2 and increase access to outpatient services for children (100 each year), adolescents (by 75 in year 1 and 200 by year 2); 5) Increase access to and utilization of ongoing primary and specialty care through effective care management and coordination with the FQHC (40% of clients will have a primary care visit in year 1 and 60% in the second year); 6) Offer access to tobacco cessation beyond residential services to all CCBHC enrollees in year 1 and reduce tobacco prevalence among program participants with a targeted 40% reduction in tobacco use by enrollees by the end of year 2.