NHCC proposes to expand its CCBHC services to include its Valley Stream clinic in Nassau County, NY. The focus will address unmet needs of the county, specifically co-occurring substance use disorders with complex care needs leading to increased psych and medical hospitalizations and ED visits. The services of CASACS, Peers, Nurses, Case Managers, and Psych Rehab Specialists are essential to sustained recovery and wellness. Goal 1: Decrease psychiatric and medical hospitalizations for clients with behavioral health and/or substance use disorder by engaging them in CCBHC services that will lead to improved treatment engagement and outcomes including addressing the underlying and resultant trauma, challenges to physical well-being and life conditions through the CCBHC’s integrated, collaborative and multidisciplinary approach to treatment, wellness and sustained recovery. Obj 1: By the end of year one of the project, the CCBHC will demonstrate a 25% decline in both psychiatric and medical hospitalizations and emergency department visits by improving the application of BH, SUD, Suicide and Risk assessments and evidence-based practices, including MAT, and access to enhanced 24/7 Crisis Intervention Services including a 24 hour mobile crisis team, emergency crisis intervention services, and crisis stabilization. By the end of year two of the project, the Valley Stream CCBHC will demonstrate a 50% decline in both psychiatric and medical hospitalizations and emergency department visits through continued trainings and engagement. Goal 2: Improve the identification and engagement of SUD services of CCBHC clients with COD (BH/SUD) and new referrals through the clinical team’s utilization of additional substance use and behavioral health screening tools and the provision of integrated and collaborative support and services of the CCBHC psychiatrists, clinicians, CASACs, nurses, TCMs, PRSs and Peers. Obj 2: By the end of year one of the project, the CCBHC will have successfully implemented same day/next day access and “no turn away” policies via outreach and engagement of 50% of its existing and newly identified COD clients into its integrated BH and SUD services and Primary Care Monitoring through psycho-education, evidence-based practices, screenings and the integrated services of prescribers, therapists, CASACS, medical/nursing staff, TCMs, PRSs and Peers. By the end of year two of the project, the CCBHC will have successfully engaged 75% of its newly referred and identified COD clients into its integrated BH and SUD services through the implementation of interactive text, email and secure web-based applications in order to promote interactive treatment, improve outreach and decrease no-shows. Goal 3: Increase community awareness of and access to CCBHC services for individuals with behavioral health and/or substance use disorders including those who would additionally benefit from outpatient Medication Assisted Treatment, primary care monitoring, case management services, psych rehab services, crisis intervention, peer supports, ACT services, Clubhouse, and/or VA services in order to support stability and recovery. Obj 3: By the end of year 1 of the project, the CCBHC will receive a 25% increase in new referrals that will have or be at risk of a co-occurring BH/SUD, a SUD-only diagnosis or opioid use through the development and expansion of the clinic’s service relationships with County health departments, hospitals, BH/SUD treatment centers, community-based health, primary care and social services organizations, advocacy groups, academic institutions, cultural and religious centers, insurance providers, law enforcement and first responders, local municipalities and VA services. By the end of year two of the project, the CCBHC will continue to develop and expand its community relationships and awareness, leading to a 40% increase in new referrals that will have or be at risk of a co-occurring BH/SUD, a SUD-only diagnosis or opioid use.