The FMRS Certified Community Behavioral Health Clinic (CCBHC) Expansion Initiative increases access to, quality and sustainability of FMRS' comprehensive behavioral health services to adults and children living in southern West Virginia (Raleigh, Fayette, Monroe, Summers counties) via service expansion, increased staffing and infrastructure and enhanced staff training. FMRS Health Systems, Inc. is one of 13 community-based, licensed comprehensive behavioral health centers (CBHC) established by WV State Code to assure that integrated substance abuse and mental health treatment services are available to all WV citizens. WV CBHC requirements mirror SAMHSA's CCBHC requirements. Through the CCBHC expansion initiative, FMRS proposes to serve a total of 1,776 unduplicated clients (Y1:888, Y2:888). Clients suffer from serious mental illness, substance use, co-occurring disorders and live in rural areas rife with high drug use and overdose, poverty, lack of transportation, limited mental health services and unmet mental health needs. Project goals and supporting measurable objectives (strategies; interventions) follow: Increasing agency capacity to reduce barriers to behavioral health services via a needs assessment guided staffing plan to be executed during Y1M4, hiring additional providers and staff which allow for (1) expanded mental health clinic hours to include evening and weekend openings and (2) primary care service expansion to children, homeless and provision of routine HIV and Hepatitis screening (Goal 1). Increasing statewide capacity to retain people in their communities via hiring added providers and staff to expand ASAM 3.7, 3.5 and 3.1 bed capacity (Goal 2). Increasing community access to a skilled behavioral health workforce by (1) developing and operationalizing a structured staff training plan which monitors credentialing and creates an internal credentialing process to increase levels of expertise and services, clinical quality and treatment staff billing potential (2) hiring a staff development coordinator to oversee the staff training plan and (3) enhancing staff training and certification in EBPs (Goal 3). Increasing access to behavioral health services through strengthened agency practice and infrastructure by assembling a CCBHC Advisory Group in include clients and family members, adhering to the project timeline, initiating an appointment reminder system and increasing client transportation capacity by hiring a transportation coordinator to utilize effective dispatching logic to streamline scheduling (Goal 4). Improving client behavioral, physical outcomes thru CCBHC expansion efforts (Goal 5). Sustaining the FMRS CCBC expansion to assure uninterrupted community access to behavioral health services via (1) using feedback from client satisfaction surveys to inform the sustainability plan, (2) developing a sustainability plan to be drafted in Y1 and updated quarterly, (3) maximizing billing to sustain increased providers, staffing, infrastructure and an internal evaluator who will report on staff productivity and utilize agency data to increase overall organizational performance and (4) working with state agencies to sustain CCBHC services provided by the development of a state plan amendment for Medicaid expansion to cover additional behavioral health costs (Goal 6).