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 Champaign County, Illinois where mental health and SUD treatment are identified as two of the most inadequate health resources. Champaign county covers approximately 1,000 square miles in Central Illinois, with a population of more than 196,000 people. 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 250 people in year 1 and 350 in year 2, reaching an unduplicated total of 600 in 2 years. Rosecrance has provided behavioral health services children, adolescents, adults, and families for decades in more than 60 locations throughout the Midwest with more than 60 locations in Northern Illinois, Greater Chicago, Central Illinois, Wisconsin, and Iowa serving 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 agency (DCO). 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: (1) Fully implement the CCBHC model and operational components by the fourth month from award; (2) Increase access to Medication Assisted Treatment (MAT) to meet documented need and expand and enhance SUD services; (3) Develop a co-responder crisis response team in collaboration with Champaign and Urbana law enforcement to respond to 911 calls involving a behavioral health issue on weekdays; (4) Enhance care coordination for individuals that receive crisis services. The objectives for this project will be accomplished through the framework provided by the CCBHC model and will focus on increased access to MAT and recovery support services, increased client participation and engagement SUD and BH treatment, rapid follow-up to clients that experience a behavioral crisis which will result in decrease in use of 911 for BH crises and decrease in repeat crisis evaluations.