Cascade Community Healthcare proposes a two-year project to become a Certified Community Behavioral Health Clinic (CCBHC) to enhance the standard of behavioral health services available to Lewis, Thurston, and Pacific county residents in Washington state of all ages who have or are at risk for a behavioral health condition. As a CCBHC, Cascade will enhance care coordination to ensure that clients have access to a broad range of services, including primary care and vaccinations. Furthermore, the project will focus on expanding capacity for outpatient SUD treatment, social support, community-based treatment modalities, and training in evidence-based practices (EBPs). The population of focus includes children and adults experiencing serious emotional disturbance (SED), serious mental illness (SMI), substance-use disorders (SUD), and co-occurring disorders (COD). Targeted subpopulations for this project include Low-English Proficiency (LEP) individuals and members of the Latinx community in addition to veterans and their families. Our goals and measurable objectives for the two-year project include: Goal 1. Raise the standard of care by achieving 100% of CCBHC standards for staffing, access, care coordination, scope of services, quality and other reporting, organizational authority, governance and accreditation by establishing policies and procedures consistent with those standards and developing strategic plans for sustainability in partnership with state authorities and other stakeholders and hiring new staff to oversee and evaluate the project; Goal 2. Increase staff capacity to treat clients according to their needs through person and family-centered treatment planning by enhancing training and credentialing in a number of EBPs, including Motivational Interviewing, trauma-informed care, SBIRT, Matrix, DBT, and EMDR; Goal 3. Increase access to comprehensive health care along a continuum of prevention, early intervention, and treatment by implementing sliding-scale fees, increasing outreach efforts, and providing access to new, community-based programs; finally, Goal 4. Expand care coordination with the addition of a care coordination team to monitor and assist high-risk clients in accessing services within and beyond the CCBHC. The targeted number of people to be served is 500 new clients each year in addition to the 5,000 that we already serve annually, for a total of 1,000 new clients over the course of two years.