The Sinnissippi Centers (SCI) CCHBC project will provide enhanced services to adults, children and families with a serious mental illness, serious emotional disturbance, substance use disorder and/or those with co-occurring disorders. The project will provide enhanced and increased psychiatric services, peer support, crisis intervention, care coordination, evidence-based treatments, and intensive team-based interventions to rural communities in Northwest Illinois. The geographic area of focus will be four largely rural Counties in Northwest Illinois, including Carroll, Lee, Ogle and Whiteside Counties. The project will provide robust services to at least 300 individuals in Year 1 and 400 in Year 2, however, the majority of the roughly 6000 clients served by SCI each year. The population of focus are predominantly Caucasian with a grow Hispanic population, have a household income of less than $20,000 annually, unemployed and will include children, adolescents, adults, and the geriatric population. SCI has vast experience with projects of significant magnitude and reach, including a $6.4 million project to enhance the system of care for youth, and multiple SAMHSA grant implementations. Strategic planning completed by SCI, as well as that conducted by several local hospitals and health departments support the significant need for expanded behavioral health services in the community. Project goals, each of which is supported by several measurable objectives, include: 1. Enhancing the intake process and more effectively triaging new clients, 2. Increasing access to psychiatry and MAT, 3. Implementing intensive team-based approaches including ACT and Substance Use Disorder Community Support Teams, 4. Enhancing primary care screening, referral and immunization, 5. Establishing of a peer-led clubhouse model, 6. Increasing utilization of evidence-based practices, and 7. Increasing data collection and utilization for decision-making. Outcomes based on measurable objectives will include among others: 1. Offering intake assessments within 24 hours, 2. Providing MAT to 100 individuals, 3. Access to a first psychiatric appointment within 2 weeks, 4. Crisis response times under 60 minutes, 5. 50 individuals receiving ACT services, 6. Provision of 1500 primary care screenings, 7. Treating 500 clients utilizing an EBP, 8. Providing enhanced peers supports to at least 75 consumers. Evidence-based practices including ACT, Motivational Interviewing, Trauma-Focused CBT, Adolescent Community Reinforcement Approach, Rx for a Change, and Moral Reconation Therapy. Data will be analyzed by the TriWest Group, including NOMS and other measures to measure improvement and progress.