LifeSpring’s Certified Community Behavioral Health Clinic (CCBHC) project will establish LifeSpring’s Floyd County Clinic as a CCBHC, improving access to and quality of care to behavioral health service for two southern Indiana counties (Floyd County and Harrison County). This project will advance primary care-behavioral health integration with the use of evidence-based practices; serving an unduplicated 1300 patients (year 1: 500; year 2: 800) who have serious mental illness (SMI), substance use disorders (SUD), co-occurring disorders (COD) and youth with serious emotional disturbance (SED). LifeSpring’s service area, Floyd and Harrison Counties, has a population of 117,324. Prevalence rates in the service area of AMI, SMI, and other diagnoses mirror NIMH data: 18.3% of adults (21,323 people) will have any mental illness (AMI), 4.2% of adults (4,894 people) will have SMI, and 49.5% of adolescents (4,770 youths) will have AMI, 22.2% of adolescents (2,139 youths) will have SMI/SED. Nearly 17% of adults drink excessively vs. 16% of Indiana adults and 17% of U.S. adults (CDC). The suicide rate is 13.8/100,000 vs. 14.9 in Indiana and 13.3 in the U.S. (CDC). In the catchment area, 20% of the Medicare population battles depression (CMS). LifeSpring’s CCBHC will provide a range of integrated primary care and behavioral health care services, including crisis care (e.g., 24/7 crisis care, and walk-in clinic hours); mental health screening, assessment, and diagnosis; outpatient primary care screening/monitoring of key behavioral health indicators; patient-centered, integrated treatment planning; MAT and medication management; and comprehensive evidence-based outpatient mental health and substance use services (psychiatric rehabilitation, therapy, Assertive Community Treatment, telehealth, peer/community social support, etc.). LifeSpring will employ multiple evidence-based practices, including CBT, DBT, Motivational Interviewing, Integrated Dual Disorder Treatment, EMDR, A-CRA/CRA, and more. Proposed achievements include decreasing mental health symptomatology by 25%; achieving 45% reported compliance with medication; delivering personalized treatment plans for 100%, decreasing substance use 35%, and achieving 80% patient satisfaction with project service experiences. LifeSpring’s CCBHC project goals include conducting a comprehensive needs assessment and meeting all CCBHC certification requirements by four months after award; expanding/enhancing existing multidisciplinary treatment teams; creating an Advisory Committee; collaborating with community partners to improve patient wellness and addiction recovery; utilizing an evaluation team; and using a continuous quality improvement approach to make improvements and achieve sustainability.