Expanding HealthWest's CCBHC Services - HealthWest’s CCBHC Expansion Grant will expand the continuum of behavioral health care for residents of all ages in Muskegon County. This project will address unmet needs in the community which include lack of Integrated Health for Children with SED; lack of vaping screening and education: limited Telehealth capacity; need for video remote interpretation: and lack of adequate staffing for delivery of EBPs. Another strong area of need includes lack of access to behavioral health services including Mobile Crisis Response; MAT services; integrated health for SUD/COD population; and disparity in care for Native Americans, Veterans and rural communities. Specific service enhancements will include increased mobile crisis response, increased capacity for delivery of MAT and increased integrated primary care services for children under 15 and adults with SUD or COD, and EBPs for Trauma. Through this project, HealthWest is committed to serving a total of 625 individuals per year (for a total of 1,256 over the two year period) using CCBHC award funds. Goal 1: Increase capacity of the Mobile Response unit to improve access to timely trauma informed supports and evidence based treatment for individuals experiencing mental health crises. 1a: By the end of year two, provide 95% of MRSS requests within 1 hour urban and 2 hour rural. Goal 2 : Increase integration of substance use disorder, behavioral health and primary care by expanding service population and treatment offerings within the Integrated Health Clinic. 2a: By the end of quarter two of year 1, increase MAT treatment capacity by one full time provider in the IHC. 2b: By the end of year two, begin providing integrated services via multidisciplinary treatment teams to children ages 018 years of age, including vaccinations and a focus on care coordination around the needs of youth with Diabetes Mellitus and Hypertension 2c: Once per quarter, screening and education related to tobacco use including smoking, vaping, and chewing will be completed with 80% of individuals receiving services. 2d: By the end of year one, enroll an additional 130 adults with co-occurring disorders (COD) or Substance use disorders into IHC services, which includes immunization, HIV and viral Hepatitis screenings and education. Goal 3: Reduce health disparities by reducing barriers and providing increased treatment to underserved populations Muskegon County. 3a: By the end of year 1, implement tele-health service delivery with at least ten individuals, focusing on rural and veteran populations 3b: By the end of year 1, implement video remote interpretation (VRI) to provide increased translation, interpretation, and American Sign language for at least 20 individuals who speak ESL 3c: By the end of year 2, partner with Little River Band of Ottawa Indians to increase service utilization by members of this tribe by 10%. Goal 4: Increase the array of EBPs for individuals who have experienced trauma 4a: By the end of year 2, HealthWest will implement plan which will increase the number of staff equipped to deliver EBPs for trauma treatment by 20% 4b: Two additional staff will be trained in EMDR (Eye Movement Desensitization and Reprocessing by the end of year one.