Cattaraugus County Department of Community Services (CCDCS) CCBHC will focus on adolescents aged 12+ and adults who have substance use disorders(SUD), mental health disorders(MH), or co-occurring disorders(COD), as defined by the NYS Office of Mental Health, residing in SW New York's economically disadvantaged and impoverished counties, specifically Cattaraugus County and the surrounding area. Additional focus will be adolescents and adults with SUD or COD who are uninsured and struggle with trauma disorders and physical health needs; adolescents with serious emotional disorders(SED) and adults with serious and persistent mental illnesses(SPMI). This project will expand services to 50 adult MH, 75 adult SUD, and 25 adolescent SUD/MH/COD clients annually. In response to the needs identified, CCDCS will expand and enhance services through goals and objectives designed to improve access to and increase the number of SUD/COD individuals engaged and served in collaboration with designated service organizations as well as a provision of evidence-based practices(EBP) to improve access to and effectiveness of treatment. G1 Increase access to care to all individuals, including the uninsured. O1.1. Enroll at least 50 adult MH, 75 adult SUD, and 25 adolescent SUD/MH/or COD in years 1 and 2 unduplicated. O1.2 100% of program participants(PP) will receive comprehensive assessment within 1 business day of contact to determine the needs that can be met through the CCBHC. O1.3 100% of PP will receive a suicide risk assessment by the 2nd visit using the C-SSRS. O1.4 100% of individuals admitted into the program will be assessed for violence risk using the V-RISK 10. O1.5 100% of PP who do not have insurance will be referred to a Health Navigator who will assist them by enrolling them in health care coverage; 80% will accept enrollment. O1.6 100% of PP will have their first treatment appointment within 10 business days of the comprehensive assessment. O1.7 90% of PP will remain engaged in the program by receiving at least 4 visits during the first 60 days of treatment. O1.8 100% of PP with a trauma disorder will be assigned to a therapist who is trained in the use of trauma EBP. G2 Decrease substance use in the community by utilizing evidence-based programs that address the needs of individuals who have COD, including opioid use disorders(OUD). O2.1 100% of PP will be screened for SUD. O2.2 80% of PP with OUD will be referred to a DATA waivered provider to assess for the need for medication-assisted treatment (MAT). O2.3 75% of adult SUD PP will report abstinence or a reduction in use at the 6-mo follow up. O2.4 100% of PP will be screened for tobacco use at intake and ongoing. O2.5 80% of PP who reported tobacco use in the past 30 days will receive a tobacco cessation intervention including breif motivational interviewing, education, or tobacco cessation groups. O2.6 50% of adult SUD PP will report participation in community recovery support activities at the 6-mo follow up. G3 Increase access to resources to meet the needs of the individuals utilizing the direct CCBHC services and those services provided through a designated collaborating organization. O3.1 100% of PP will be assessed for the need for care coordination/case management services and referred. O3.2 100% of PP will be assessed for housing stability. O3.3 75% of PP will report that they have stable housing at the 6-mo follow up. O3.4 100% of PP who identify as current or past members of the armed forces will be referred to the Cattaraugus County Veterans Service Agency for assistance with care planning and resource acquisition. O3.5 100% of PP will be screened for HIV and viral hepatitis A,B,C. O3.6 80% of PP will report engagement with a primary care physician at the 6-mo follow up.