The Elmhurst Home, Inc. (EHI) CCBHC Project serves adult men and women with diagnosed substance use and mental health disorders in Detroit, Michigan through outpatient and residential treatment services. The demographic characteristics include African American, Caucasian, Hispanic, Arab American, and Native American populations ranging in age 18-67 years old to include individuals who identify as lesbian, gay, bisexual, transgender, and questioning. The project seeks to expand CCBHC access to 450 adults (150-Year 1 and 300-Year 2). The project goals are to 1) increase access to quality community mental and substance use disorder treatment, 2) ensure stabilization for individuals with SMI, SUD and COD and 3) provide treatment and recovery support services to individuals with SMI, SUD and COD. The objectives to achieve these goals are to: Certify as a CCBHC within 4 months of notification of award; Expand access to services by informing current stakeholders (law enforcement, mental health providers, faith base community) and community of integrated SMI SUD, and COD services through targeted biyearly communications beginning in Q1 of Yr1; Establish SMI, SUD, and COD consumer and family Advisory Work Group by Q2 of Yr1; Screen for HIV and viral hepatitis beginning Q2 of Yr1; Screen, assess and diagnosis for mental health and substance use disorder beginning Q2 of Yr1; Fully leverage all funding sources to include Medicaid, third party, and other revenue to ensure sustainability of services beginning Q2 of Yr1; Develop and implement an integrated crisis response strategy that ensures linkage and access to continuum of care beginning in Q1 of Yr1; Provide for and ensure staff training in mental health assessment (LOCUS), crisis intervention and destabilization techniques, clinical decision making, and knowledge of crisis resources beginning in Q1 of Yr1; Expand emergency services crisis response team beginning in Q1 of Yr1; Provide comprehensive outpatient and residential SMI, SUD, and COD evidence-based services (ACT, CBT, DBT, and SS) to include medication assisted therapy, peer support, and case management beginning Q2 of Yr1; Each year, link 50% of participants to employment support i.e., job search, resume develop, and interview techniques beginning Q2 of Yr1; Link 100% of participants to formal and informal community resources over the grant period as measured by participant records beginning Q2 of Yr1; Each year, provide transportation as a wraparound service to 25% of participants without transportation to linked community resources/services as evidenced by EHI transportation log beginning Q2 of Yr1; and Continually monitor, assess, and disseminate efficacy of treatment and recovery support services through QA/PI programming beginning Q2 of Yr1.