Calhoun County CCBHC is a project of the Calhoun County Community Mental Health Authority (CCCMHA) to improve the health of individuals in the county while advancing integration of behavioral health and physical health care, increasing use of evidence-based practices and expanding capacity, access and availability to high quality care. The population of focus is Adults with Serious Mental Illness (SMI), Adults with Substance Use Disorders (SUD), Children/Adolescents with Serious Emotional Disturbance (SED), and Youth and Adults with Co-occurring Disorders (COD). Adults with SMI and co-occurring opioid and other substance use are identified as a sub-population of focus. Evidence based practices include: SBIRT, Motivational Interviewing, and Seeking Safety. Calhoun County’s population is 133,819 with 30,243 youth under the age of 18 and 8,864 veterans. Demographic make-up shows 81.4% Caucasian, 11.2% African American, 3% Asian, 0.8% American Indian, .04% Native Hawaiian. Hispanic/Latino is 5.5 % of the total population. Gender make-up is 49 % male; 51.0% female. CCCMHA strategy will provide behavioral health crisis services, screening, assessment and diagnosis, patient-centered treatment planning, risk assessment and crisis planning, outpatient behavioral health services, outpatient primary care screening and monitoring of health indicators and risks, clinical monitoring for adverse effects of medications, targeted case management, psychiatric rehabilitation services, clubhouse programming, peer recovery supports, veterans’ behavioral health services, and assertive community treatment. Goal 1. Increase access to behavioral health services for population of focus. Objective 1a) Outreach staff will increase individual information/educational contacts to people in the community by 40% by the end of Year 4, with a 20% increase by the end of Year 2. Objective 1b) Staff will provide services to 1000 individuals enrolled into the CCBHC by end of Year 4. Goal 2. Deliver comprehensive and coordinated care that provides access to effective evidence based interventions for individuals with complex needs. Objective 2a) Provide evidence-based treatment for 100% CCBHC enrolled individuals. Objective 2b) Provide care coordination for 100% CCBHC enrolled individuals. Goal 3. Deliver integrated care for behavioral health and physical health risks and needs. Objective 3a) 100% of enrolled individuals will receive primary care screening and monitoring of health indicators and risks identified in CCBHC Quality Measures. Objective 3b) A Complex Care Manager will be assigned to 100% individuals identified with high behavioral and health risks as determined by screenings completed. As a CCBHC, all individuals with SMI/SED/SUD/COD served by CCCMHA will be CCBHC clients. Individuals enrolled in the grant portion of the CCBHC will be those who consent to the evaluation including new individuals entering care and current individuals eligible for CCBHC services. Project will serve 250 individuals each of the 4 grant years for a total of 1000 unduplicated individuals. Goal 4. Achieve infrastructure to support State demonstration standards by the end of Year 4.Objective 4a) Improve and advance clinical quality measure (CQM) data collection and performance measurements. Objective 4b. Integrate funding structure for CCBHC services contacts.