The Lawrence County (IL) Health Department (LCHD) will implement a comprehensive Certified Community Behavioral Health Clinic project that will serve an eight county service area in rural Illinois with a population of over 100,000 persons. The primary counties served are Lawrence, Wabash, Crawford, Richland, Jasper, Effingham, Edwards, and Clay. The population of focus includes children and adults, with serious emotional disturbance, serious mental illness, SMI, and co-occurring substance use disorders seeking mental health services at LCHD. The project will provide integrated behavioral and primary care, along with any required human and social service supports. It will use evidence based practices to deliver both person and family centered integrated behavioral and primary care services that will include crisis intervention services. The project goal is to expand through both planning and programming, access to quality behavioral health services, integrated care, and supportive human and social services among the project target populations. In order to fulfill this goal, the project will work towards attaining the following objectives: Plan and develop a CCBHC model to improve access to comprehensive community-based mental health, SMI, SUD, SED and COD care and services; Provide a wide range of outreach, screening, assessment, treatment, care coordination, and recovery supports based on a needs assessment that aligns with federal CCBHC Certification Criteria; and, Support client recovery from mental illness, SUDs and CODs by providing access to high quality mental health and SUD services in a manner that generates high levels of client satisfaction. The project will be carried out using a community collaboration based model that emphasizes addressing health disparities, behavioral health equity and the utilization of trauma informed care among the populations of focus. Successful achievement of project objectives and activities are expected to generate the following project outcomes by the end of project year one: Screening, assessments, referrals and treatment planning delivered to at least 90 percent of project participants; Satisfactory mental health outcomes will be experienced by at least 60 percent of project participants/clients, as measured by pre- and post-intervention surveys; Satisfactory physical health outcomes will be experienced by at least 75 percent of project clients, as measured by pre- and post-intervention surveys; High quality SUD and recovery support services will be successfully delivered to at least 90 percent of clients in need of such services; At least 80 percent of clients will be provided with vocational and/or employment services and supports; At least 70 percent of clients will be provided with assistance in efforts to help obtain safe, decent and affordable housing; At least 10 local or regional organizations will be collaborating, coordinating, and sharing resources with LHCD as a result of the grant; A project Advisory Council will be established with active participation/representation from at least 5 members of the client community. Project objective and outcome attainment will be assessed as part of the project data collection and performance measurement process. LCHD is requesting $4 million over the four year project period ($1 million annually).