Family & Children's Services CCBHC - Family & Children's Services, the largest Community Mental Health Center (CMHC) in Oklahoma, will continue the FCS CCBHC (Certified Community Behavioral Health Clinic) to provide increased access and high quality community behavioral health services and with advanced integration with physical health care in Tulsa, Oklahoma for the city's under-served, neediest individuals. FCS CCBHC provides comprehensive outpatient mental and substance use disorder services that are evidence-based including an array of crisis services as well as outpatient clinic primary care screening and monitoring of key health indicators and health risk. FCS CCBHC will ensure access to high quality care for 725 adults, unduplicated, with Serious Mental Illness (SMI), or Substance Use Disorder (SUD) including opioid disorders, and individuals with or at risk for Co-Occurring Disorders (COD) and 25 children and adolescents, unduplicated, with Serious Emotional Disturbances (SED) annually and throughout the life of the grant. Admission to FCS CCBHC is prioritized for veterans; pregnant women; Assisted Outpatient Treatment (AOT) patients; opioid-addicted; HIV-positive or vulnerable; homeless; suicidal; those who identify as LGBTQ and the uninsured; children diagnosed with SED; a high risk for substance abuse, HIV, homeless, and/or suicidal. FCS CCBHC serves the whole person by patient-centered, family-centered, trauma-informed, and recovery-focused treatment services for adults and children. FCS CCBHC continues to achieve five major goals with corresponding measurable objectives: 1) High quality care coordination for MH/SUD/COD services to support improved overall health outcomes of Tulsa County's high-need and low-income adults with SMI, including opioid disorders, and youth with SED; 2) Maintain increased specialized care coordination between behavioral and physical health care to support enhanced the health outcomes of the whole person for the neediest FCS CCBHC consumers; 3) Sustain improved existing MH/SUD/COD/SED services by removing barriers and increasing consumer access to high quality care and 24/7 crisis care services; 4) Provide ongoing extensive training for all CCBHC staff to improve knowledge of populations served, cultural and linguistic competence, EBP utilization and other skills to continually improve overall quality of care; and 5) Continuous expansion of quality improvement, data management and reporting, certifications and governance initiatives to improve overall health outcomes for FCS CCBHC consumers. To meet these goals, FCS CCBHC will increasingly work closely with Designated Collaborating Organizations (DCOs); have 27 staff positions; further enhancing substance use, mental health, and primary care services and collaborations; expanding upon existing access to crisis services; and prioritizing health outcomes for the whole person among Tulsa's most vulnerable adult and youth consumers.