Good Samaritan (GS) Comprehensive Health System is requesting $4 million over a two year period ($2 million annually) to expand CCBHC care and support services for a high-need, multi-state project service area with a population of over 242,000 persons. Headquartered in Vincennes, Indiana, the project will benefit citizens residing in the Indiana 8th and Illinois 15th Congressional districts. It will serve 11 high need counties, including the seven Indiana counties of Knox, Daviess, Pike, Gibson, Sullivan, Greene and Martin, and the four Illinois counties of Lawrence, Richland, Crawford and Wabash. Over 90 percent of these counties have received DHHS, HRSA Medically Underserved Area or Medically Underserved Population designations. The project will serve an estimated 2,200 persons. The service area Congressional leadership strongly supports the project due to the compelling behavioral health needs in the region, especially the exploding demand for treatment needs caused by the exploding demand for substance use treatment due to the impacts that opioid use has inflicted on the region. The following Indiana and Illinois members of Congress are formally supporting the project: Senators Young and Braun of Indiana, Congressman Bucshon, MD (IN-08) and Congressman Shimkus (IL-15). GS, in collaboration with numerous community partners, will provide integrated behavioral and primary care, along with any required human and social service supports. The project will use evidence based practices (EBPs) to deliver both person and family centered integrated behavioral and primary care services that will include on call crisis intervention services for the following priority populations 1) persons with serious mental illness (SMI), 2) persons with, or who are at risk for, substance use disorders (SUDs), 3) persons having, or are at risk for, opioid use disorder (OUD), 4) children and youth with a serious emotional disturbance (SED), 5) persons with cooccurring mental and substance disorders (CODs), 6) disadvantaged persons with a disorder who reside in a rural area and face significant barriers to accessing care (transportation, etc.), and, 7) underserved and minority populations. As the state designated Community Mental Health Center (CMHC), the GS's Samaritan Center (both a previous and current SAMHSA grantee) will provide comprehensive access to community based mental and SUD services, treatment of those disorders and integrated primary care in a single location.The project will be integrated within the GSH comprehensive system of care and will provide 1) Crisis Mental Health Services, 2) Screening, Assessment and Diagnosis, 3) Person Centered Treatment Planning, 4) Outpatient Mental Health, 5) SUD Treatment and Recovery, 6) Health Screening and Monitoring, 7) Case Management, 8) Peer and Family Supports, 9) Psychiatric Rehabilitation, 10) Assertive Community Treatment, 11) Home Based Health, and, 12) Medication Assisted Treatment. The project will place special emphasis on implementing innovations and best practices to expand integrated care and services for underserved rural areas and rural populations. It is expected to generate numerous community benefits and outcomes, including improvements in: 1) the number of individuals impacted, screened and assessed using the CCBHC model; 2) the number and types of CCBHC services provided; 3) individual diagnoses; 4) physical health outcomes; 5) behavioral health outcomes; 6) employment status; 7) substance use characteristics; and, 8) housing status.