The Family Center, a central Brooklyn NY-based behavioral health agency providing wholistic, trauma-informed services to minority families, will achieve CCBHC certification providing culturally sensitive treatment and recovery services for adults, families, youth, and children with significant levels of trauma, chronic disease, extreme poverty, and barriers to care. Total population of the targeted communities is 318,898 persons (56% female, 44% male), 76% African American, nearly 13% Hispanic; less than 10% are non-Hispanic white. Twenty percent of residents are foreign born, mostly from the Caribbean or Central America. The Family Center will implement mobile crisis outreach, care coordination and clinical monitoring, psychiatric rehabilitation, peer recovery support, and a full range of evidence-based treatments for serious mental illness, substance abuse, and trauma-related disorders. Goals are: 1. Address the impact of undiagnosed and untreated SMI, COD, SUD, and SED disorders on minority families and individuals in central Brooklyn through crisis response, engagement, integrated assessment, and trauma-informed treatment interventions, and 2. Through case management, coordination with primary care and inpatient providers, and increased rehabilitation and peer support, assist persons with SMI, COD, SUD and SED and chronic health conditions to reduce hospitalizations and to resolve barriers to engaging in appropriate community support systems. Objectives include: 90% of clients will complete a Crisis Plan within 14 days of enrollment; 85% of CCBHC clients and family members served in face-to-face crisis interventions will receive 2 engagement staff contacts within 1 week of the crisis; 80% of all clients enrolled in treatment for 6 months will demonstrate a 40% improvement in psychosocial functioning; 50% of clients engaged in treatment for SUD/OUD will indicate no past 30-day substance use related to the substance(s) of choice after 6 months of OP treatment; 70% of children/youth with SED engaged in treatment for 6 months will demonstrate a 40% or more reduction in symptoms; 85% of enrolled CCHBH clients with chronic health conditions and not enrolled in other Medical Home services will have a care coordination plan involving collaboration with identified DCO primary care providers completed within 21 days of project enrollment; 90% of CCBHC clients with SMI/SED will participate in monitoring of key health indicators by Project staff at a minimum once each 3 months; 95% of pediatric and adult CCBHC clients needing peer, employment, housing, and/or education support will be partnered with identified DCO providers’ support staff, with a minimum of two follow-up contacts by TFC case management and peer recovery staff within 3 months of linkage; 50% of enrolled SUD clients in primary care will demonstrate improvements in 2 or more health measures associated with polysubstance abuse within 12 months of enrollment in primary health care coordination services. Three hundred adults and 50 children/youth will be served each project year, with a total of 700 unduplicated clients served in the project.