Project Name: Southwestern Behavioral Healthcare, Inc. CCBHC Expansion. Summary: We will increase 24/7/365 access to CCBHC psychiatric, addiction and physical health care services, and after-hours crisis mental health services for individuals with serious and complex mental and substance use disorders in Vanderburgh County, IN. Population: Children, adolescents and adults with the most serious and complex mental and substance use disorders will be served. Strategies/Interventions: CCBHC staff and service hours will be expanded to improve same day access and follow-up appointment offerings. Tulip Tree Family Health Care (TT) FQHC will partner to provide on-site primary physical health care and monitoring, care coordination with Southwestern and referrals to appropriate services to support expanded comprehensive, integrated client care. Southwestern Engagement Specialist staff will perform 24/7/365 outreach in jails, shelters, homes and other community locations, including mobile crisis response and stabilization services to be provided through a new Mobile Crisis Team (MCT). The MCT will respond to adults and children experiencing acute psychiatric crises during weekend and overnight hours with services provided on-site at the CCBHC, or in homes, workplaces or other community locations when called by law enforcement or other social service agencies. A new five-bed shelter space at the CCBHC will receive individuals in acute psychiatric crisis and provide risk/need assessment, motivational interviewing, care coordination and service referrals. Evidence-based practices will be delivered as appropriate. Project Goals: To increase the number of individuals that receive same day access to community psychiatric, addiction and/or physical health care services in an office setting, and to expand after-hours crisis mental health services, including emergency intervention and stabilization. Objectives: Expand on-site assessments/diagnosis for psychiatric and addiction service provision to evening/weekend hours. Increase clients contacted by the CCBHC within one hour of initial contact. Increase offerings for follow-up appointments within seven calendar days. Increase reentry clients seen for assessment/diagnosis and care coordination post release that do not recidivate in the next 90 days. Provide HIV and viral hepatitis A, B and C screening and testing. Establish a new Mobile Crisis Team (MCT) to respond to individuals in acute psychiatric crisis in the community. Open a 5-bed specialized shelter space for clients in a psychiatric crisis met by CCBHC MCT that do not meet criteria for hospitalization and are not comfortable in typical shelter due to trauma and/or other issues. Divert 100% of clients met by CCBHC MCT who do not need emergency medical attention or law enforcement intervention away on day of contact from jail and/or ED. Make contact with clients met by CCBHC MCT at least one time daily until the client completes the next planned in-person appt. Increase the number of inmates receiving risk assessment care coordination services in the county jail for those in psychiatric crisis. The project will serve 10,400 individuals in year one, 6,600 in year two, and 17,000 in total for the grant period.