Community Resource Center’s (CRC) Certified Community Behavioral Health Clinic (CCBHC) will provide comprehensive, evidence-based behavioral health services and coordination with primary care for children and youth with serious emotional disturbance, adults with serious mental illness (SMI), and people with substance use disorder (SUD), and/or co-occurring disorder in the geographic catchment area of Marion County in Centralia, Illinois. Marion County has particularly high rates of poverty, suicide, and trauma, as well as physical health and behavioral health needs not met by the current treatment capacity. The purpose of CRC’s CCBHC is to increase access to high-quality behavioral health services in the region and to reduce behavioral health disparities by expanding evidence-based services and addressing social determinants of health. New or enhanced services will include an intensive outpatient program (IOP) for SUD treatment to address the unmet SUD treatment need and fill a critical gap in the treatment continuum; a new Assertive Community Treatment (ACT) team, modified for our rural area, to meet the needs of adults with more complex SMI conditions; Critical Time Intervention (CTI) to ensure better transitions from restrictive settings into the community; universal screening and monitoring of physical health indicators; additional capacity for psychiatric care and new, trauma-focused evidence-based practices (EBPs) needed to address the risks associated with living in an area with high rates of trauma; assistance from a housing and transportation specialist to address social determinants of health and to increase service access; additional capacity for peer and family supports; and provision of EBPs for veterans and their families. We will use grant funds to establish the infrastructure to implement core CCBHC services and serve 200 individuals in Year 1 and 250 individuals each year through Year 4 for a total of 950 individuals. The goals for this project are to: (1) Universally screen, assess, and monitor mental health, substance use, and physical health conditions; (2) Ensure access to primary care; (3) Expand access to targeted case management & intensive services, such as ACT and CTI, for individuals with complex needs; (4) Increase access to SUD treatment (including IOP and medication-assisted recovery) and decrease the incidence and prevalence of substance use; (5) Expand and strengthen recovery-oriented, trauma-informed services; (6) Increase the number of veterans or military-involved families receiving EBPs & supports; and (7) Improve physical health indicators among consumers with increased risk for chronic health conditions. Measurable objectives related to these goals include: (1) 60 unduplicated consumers will receive ACT over the 4-year grant period; (2) 50% of consumers served by ACT will successfully transition to lower levels of care; (3) 100% of consumers in need of housing and transportation services will be referred and at least 75% will receive a service within 1 week of referral; (4) At least 40 consumers in Year 1 and 75 consumers in Year 2 will be served in the IOP program; (5) 50% of consumers with SUDs will have a clinically significant reduction in substance use or harm from use after 12 months of treatment; (6) 25% more individuals will receive peer support compared to the number served at baseline and in Year 1; (7) 50% more veterans and military-involved families will be served from Year 1 to Year 4; and (8) 50% of enrollees with elevated health indicators will experience clinically significant improvement on at least one indicator relevant to their condition after 12 months of program engagement. Finally, over the four years of the grant, CRC will develop the internal capacity to independently carry out the evaluation, performance measurement, and ongoing data-driven population health management and continuous quality improvement functions associated with being a CCBHC.