The Rosecrance CCBHC Expansion Project will improve access to critical, community-based behavioral health care for adults with serious mental illness (SMI), substance use (including opioid) disorders (SUD) and co-occurring disorders (COD) as well as children and adolescents with serious emotional disturbance (SED). Rosecrance proposes to expand and enhance our current service delivery model of integrated care through the CCBHC Expansion Grant to serve all residents living in Winnebago County, Illinois. The primary focus of this proposed project is to strengthen systems to expand access and enhance coordination of mental health and SUD services for high risk clients in our POF and sustain improvements. Rosecrance CCBHC will serve 300 people in year 1 and 450 in year 2, reaching an unduplicated total of 750 in 2 years. Rosecrance has provided behavioral health services to children, adolescents, adults, and families for decades in more than 60 locations throughout the Midwest and serves more than 45,000 individuals annually. Certified by the state of IL, Rosecrance already provides most of the required CCBHC services. Primary health care screening and monitoring services will be provided in coordination with our designated coordinating agencies (DCOs). Our CCBHC will build upon our existing comprehensive continuum of behavioral health and substance use disorder services which includes prevention, screening and assessments, intervention, detoxification, inpatient and outpatient treatment, experiential therapies, therapeutic mentoring, school-linked services, peer support, crisis services, dual-diagnosis care and family education to meet the community needs and goals for this project. We will use CCBHC funding to accomplish the following goals: 1. Fully implement the CCBHC model and operational components; 2. Increase access to BH services for children and youth at highest risk by providing services in schools and by adding community-based services to address unmet treatment needs; 3. For adult clients utilizing crisis services, decrease utilization of high-cost institutional or inpatient care and increase utilization of community-based services by engaging clients in outpatient treatment; and 4. Enhancement of existing veteran services to improve access to treatment and to increase care coordination among veteran services. The objectives for this project will be accomplished through the framework provided by the CCBHC model and will focus on increased access to treatment, increased client participation and engagement in SUD and BH treatment, rapid follow-up to clients that experience a behavioral crisis which will result in decreased use of 911 and hospitalization for BH crises and a decrease in repeat crisis evaluations.