IDCC CCBHC - Interborough Developmental & Consultation Center, Inc. IDCC will provide a fully integrated continuum of behavioral health and care coordination of chronic physical health conditions for high risk, underserved residents of Coney Island (CI), Brooklyn, New York. The Project will serve Adults with SMI, COD, SUD and OUD, the majority of whom will have one or more chronic physical illnesses that elevate risk, as well as serve children/youth with SED, their caregivers, and family members. CI has a l population of 106,459; 53% are foreign-born, 43% report limited English proficiency, 56% white, 16% Latino, 14% Asian, and 12% black, and the greatest proportion of persons over 65 in NYC. The poverty rate is 24%, with unemployment of 11%. Veterans make up 2.1% of the population. CI has the highest NYC rates of congestive heart failure and diabetes risk in the Medicaid population, as well as high rates of SMI and depression. The Project will co-locate and coordinate mental health and psychiatric services, substance abuse including MAT, and primary health care, and provide Mobile Crisis Outreach, extensive care coordination, management of transitions to and from in-patient care, a Veterans’ Outreach Coordinator, and peer recovery support in community and home locations. IDCC will use the evidence-based practices, screening and assessment tools, and core CCBHC principles endorsed by New York State, which is a CCHBC expansion site. Project goals are: 1) Deliver a continuum of crisis response and integrated treatment, and care coordination for Coney Island residents in the CCBHC populations of focus; 2) Establish comprehensive care coordination and clinical monitoring for high risk Coney Island residents in the populations of focus; 3) Increase community awareness of the availability of mobile crisis, integrated treatment, and care coordination services in Coney Island. Objectives include: Provide 200 face-to-face mobile crisis visits Year 1 and 520 visits in Year 2; 60% of clients enrolled in integrated COD treatment for COD will reduce symptoms of traumatic stress; 50% of clients in SUD treatment will achieve no past 30-day use of their drug of choice after 6 months of treatment; 70% of children in comprehensive trauma support services decrease in trauma related symptoms; 80% of clients with chronic health conditions enrolled IDCC primary health care will demonstrate at least a 20% improvement in 1 or more key health indicators; 70% of CCBHC clients engaged in MAT for OUD will demonstrate no past-30-day use of opioids within 3 months of induction.; 100 home-bound persons will receive care coordination and integrated COD treatment per year; Provide presentations on how to access CCBHC services (5 presentations per year for each of 2 years), in the languages used by the CI populations of focus (English, Spanish, Cantonese, and Russian); Provide outreach/engagement visits to 250 persons involved in the criminal justice and homeless services systems. The Project will serve 450 unduplicated clients in Year 1, and 770 in year 2, for a total of 1,220 over the two years. SAE-BHE, a firm with considerable experience evaluating SAMHSA Projects, will conduct the performance assessment.