Border Behavioral Health Expansion Project (BBHEP) - A community-based, nonprofit agency, SCAN's bilingual, bicultural staff provides behavioral heath (SMI and SED), SUD, and COD services to more than 2,000 adults and children annually through over 30 different programs in 7 satellite offices covering 19 counties in South Texas. Through the proposed project, SCAN will achieve CCBHC certification by the state of Texas (a planning grant state) to offer fully integrated services accessible through any point of entry to 570 (270 in year 1 and 300 in year 2) children, youth, and adults, including veterans, with Serious Mental Illness (SMI) and children/youth with Serious Emotional Disturbances (SED), and or adults/children/youth with Substance Use Disorders (SUD) or Co-occurring Disorders (COD) in the Catchment Area of Webb County, Texas many of who are homeless. Webb County's population heavily self-identifies as Hispanic and people speaking Spanish at home comprise 89.9% of the population. The evidence-based practices include: Columbia Suicide Severity Rating Scale (CSSRS), Motivational Interviewing (MI), Acceptance and Commitment Therapy, Matrix Model, Assertive Community Treatment (ACT), Seeking Safety, Integrated Dual Disorder Treatment, Adolescent-Community Reinforcement Approach, Parent-Child interaction Therapy, and Trauma-Focused Cognitive Behavioral Treatment. These EBPs will support the Proposed Project's Goals: Goal 1: Build robust emergency crisis intervention services available 24 hours a day, 7 days a week to respond to the needs of the POF and link them to ongoing care. Goal2: Build an integrated treatment capacity linking clients to appropriate services through a single point of access from screening throughout treatment. Goal 3: Through certification as a CCBHC strengthen the agency's infrastructure and community outreach so that all agency operations fully support the integration of mental heath, substance abuse, co-occurring disorders, HIV/Hepatitis rapid testing and primary health care. The grant will support additional key staff including: a Project Director, Clinical Director, additional psychiatry, psychiatric nursing, dedicated internal medicine (MD), advance practice nurses, additional licensed mental health and substance abuse staff, additional case managers and recovery coaches. An Advisory Workgroup of clients, family members, partners and community resources will receive regular project evaluation reports, address barriers, and lead sustainability efforts. Key Partners (signing Letters of Commitment): Bethany House, Laredo Housing Authority, Border Behavioral Health center, Gateway Community Health center, Palms Behavioral Health and the Association for the Advancement of Mexican Americans. SCAN is in the process of accreditation by the Joint Commission (TJC). The Joint Commission formerly known as the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), through which we have addressed most CCBHC certification requirements especially relating to organizational infrastructure, licensure, insurance, staffing, treatment, training, skills, and competencies and administrative support capabilities. With the strategic support of this grant, SCAN will be certified as a CCBHC by Texas within 4 months.