Hope in the Heartland, proposed by High Plains Mental Health Center (HPMHC), will expand access to trauma informed care for adults with SMI, children with SED, and those with COD who reside in our 20 county, 19,000 square mile, Northwest Kansas region, especially underserved Hispanics, farm workers, and older adults. Our region has the state's highest suicide rates and experienced a 57% increase from 2014-2018. In our catchment, 75% of adults with SMI and 89% of children and youth with SED are not in treatment, and only 11% of older adults with SMI receive care. We serve few Hispanics even though they comprise 11.6% of the regional population. Our entire region is HRSA designated as a Health Professional Shortage Area, and we have a 22% staff turnover rate. We will double our school service sites, hire a jail liaison, and engage 5 organizations to support mental health promotion and provide locally responsive peer support. We will implement Motivational Interviewing, enhance telehealth access, and establish Trauma Informed Care throughout our 77 regional access points (including clinics, health departments, county hospitals, schools, and jails). Clinical training will address co-occurring substance use disorder, and staff bonuses and selfcare training will address retention. Goals are to improve access for 200 adults who have SMI and 100 children who have SED, including 10 farm workers, 86 seniors, and 20 Hispanic individuals. 100% will receive screening and assessment within 10 days, 90% will initiate treatment within 7 days of diagnosis. 75% will remain in treatment for at least 30 days. Annually, we will serve 300 people (200 adults and 100 children) for a total of 600 (400 adults and 200 children) in total.