Neighborhood Service Organization 360 Certified Community Behavioral Health Center (NSO 360 CCBHC) will advance efforts as a holistic provider of medical, behavioral, and social services for vulnerable populations. We will build off our strong foundation to provide comprehensive community-based care for consumers with Serious Mental Illness (SMI), Substance Use Disorder (SUD), Co-Occurring Disorders (COD), and Serious Emotional Disturbance (SED); 24/7 crisis intervention; advance the integration of behavioral health and primary care; consistently assimilate and utilize evidence-based practices; and expand access to high quality care. We will focus CCBHC efforts on addressing the needs of high risk underserved families, adults, and children, including individuals experiencing homelessness in Wayne County, Michigan serving 5300 individuals in CCBHC services in Year 1 and 500 additional consumers in Year 2. These communities face significant barriers related to social determinants of health such as lack of housing and transportation, experience a high degree of unmet behavioral health need, and poor access to quality health care. We will build on our existing, integrated service model to fully implement the required CCBHC model for our existing consumers; expand our on-site services; and improve screening, treatment, and health outcomes. Our goals include 1) advancing NSO’s care delivery model by meeting CCBHC certification within 4 months of the award 2) providing comprehensive, evidenced based, trauma-informed SMI, SUD, COD, and SED services to children, families, and adults 3) delivering multidisciplinary, integrated behavioral health and primary care 4) providing timely and convenient access to care and 5) improving data-driven population health management to improve quality of care and health outcomes. We will achieve these goals through training and implementation of evidence-based trauma-informed practices and SUD treatments; increasing Medication Assisted Treatment (MAT) provider capacity and recovery coaches to expand access to MAT including medications for opioid use disorder; expanding integrated care to four sites; promoting team and system integration; optimizing telemedicine, and same day access; and identifying and engaging the highest risk consumers in intensive care coordination and case management services.