High Plains Mental Health Center (HPMHC) will expand and enhance behavioral health care for medically uninsured/underinsured children and adults experiencing SMI, SED, substance use disorders, or co-occurring mental health/substance use disorders in our 20-county rural Northwest Kansas catchment. HPMHC is the only BH provider for those without insurance, who make up 12% of the regional population. We reach only 24.3% of individuals in the region who have SMI and 11% of children who have SED, The Hispanic population is 5.5% of our region, but only 3% of our current clients. Access to firearms, higher rates of SUD, and geographic isolation contribute to disproportionately elevated suicide rates in our rural area. The age-adjusted suicide mortality rate is 26.1 per 100,000 people in our area compared to 20.1 statewide. Men in agricultural occupations have a significantly elevated rate of suicide: 49.5 persons out of 100,000 and our Kansas suicide rate for veterans is 35.9 per 100,000 compared to the national veteran suicide rate of 31.0. Suicide rates among children in Kansas rose 50% in one year from 2016 to 2017. Our region has some of the nation's highest per capita Covid-19 death rates and the volume of calls to our crisis hotline doubled during one month in 2020. Our CCBHC will expand our SUD capacity, including MAT; enhance care integration for physical and mental health care, including screening for HIV and viral hepatitis; implement ACT; and improve access for Hispanics, Veterans, and Farm Workers. 80% of those with a confirmed diagnosis will initiate treatment within 14 days; 75% will be retained 30 days; 75% of individuals with SMI/COD will have primary care monitoring and 50% who have a co-occurring chronic condition will receive care coordination; 75% of program enrollees will be screened for HIV, Hepatitis C and tuberculosis within 60 days of BH treatment initiation; 50% will rate satisfaction as satisfied or above after 3 months. We will expand care access to 500 unduplicated individuals (200 in Year 1 and 300 in Year 2), including 40 who are Hispanic, 50 who are Military-involved, and 50 involved in farming.