Seven Counties Services (SCS) “Community Mental Health Center Expansion Program” will build on existing services that SCS provides and meet community needs by improving access to/quality of evidenced-based community behavioral health in Jefferson, Oldham, Bullitt, Shelby, Spencer, Trimble and Henry counties in the state of Kentucky. SCS is a well-established trauma informed CMHC, providing services to nearly 34,000 individuals per year. Through this expansion, SCS will serve at least 1000 unduplicated individuals (Y1: 500; Y2: 500), including adults with serious mental illness (SMI), children/adolescents with serious emotional disturbance (SED) and those with co-occurring disorders (COD), including substance and opioid use disorders (SUD/OUD). SCS’ catchment area is home to over 1M people, or 23% of the state’s total population, and the location of some of the most densely populated and diverse regions in the state, including the city of Louisville. The entire catchment area is comprised of 49% male, 51% female, 77% white, 18% African American, and 5% Hispanic/Latino individuals. Approximately 14% live below the poverty line and 10% lack a high school diploma/equivalent. Within the catchment area, 22% of adults experience any mental illness, 14% of children ages 2-17 have an emotional/behavioral/developmental condition(s), and 8% of adults and 4% of adolescents 12-17 have SUD. Kentucky ranked comparatively higher than other states in the rates of adults suffering from any mental illness (32nd), including those with substance use disorder and suicidal ideation, and equally low in terms of access to care for those individuals (31st). COVID-19 has exasperated this disparity and caused an increase in the overall demand for mental health services in the region. Without access to coordinated, whole person care options, the population is vulnerable to poor outcomes, at risk for higher rates of mortality, suicide, substance abuse, hospitalization, incarceration, and homelessness. SCS will provide an array of integrated services/interventions, including crisis care; complete mental health screening; outpatient primary care screening/monitoring of key health indicators; patient-and family-centered integrated treatment planning; MAT and medication management; and comprehensive, trauma-informed, evidence-based, outpatient mental health and substance use services. Project goals include maintaining and utilizing SCS’ recently expanded telehealth capabilities to increase access to/availability of services; decrease hospitalization through crisis response and timely intervention; and providing clients with community-based treatment and support. SCS has applied for almost 2.5M in funding per project year to reach the goal of serving an additional 500 individuals per year, to respond to emergent clients within 3 hours 90% of the time, and to divert at least 80% of clients from hospitalization at the time of intervention.