Enhanced Staten Island (E-SI) Certified Community Behavioral Health Center (CCBHC) - Samaritan Daytop Village’s (SDV) proposed Enhanced Staten Island (E-SI) Certified Community Behavioral Health Center (CCBHC) to be located in Staten Island, NY will expand and enhance the quality of integrated outpatient mental health, substance use, and primary care services through the provision of culturally competent, person-family centered, evidenced-based treatment services. The SDV proposed Enhanced Staten Island CCHBC will be an extension of the currently operating Staten Island CCBHC. The population of focus (POF) will be primarily low income, minority children, adolescents, adults, and veterans having a SMI, SED, SUD, or COD as they experience elevated rates of trauma, morbidity, visits to the Emergency Department (ED), preventable hospitalizations and mortality. In Year 1, the Enhanced Staten Island CCBHC will provide comprehensive services to 180 people having SMI, SUD, SED, and COD in order to expand the provision of comprehensive CCBHC services to 400 unique POF members over the 4-year period (94 in Yr. 1, 96 in Yr. 2, 120 in Yr. 3, and 90 in Yr. 4). The Enhanced Staten Island CCBHC will expand access to critically needed trauma-informed, person-family centered assessment, treatment planning, comprehensive outpatient mental health and substance use treatment services, outpatient screening and monitoring of primary health indicators, medication administration and monitoring of medication for adverse effects, targeted case management, psychiatric rehabilitation services, social support opportunities, comprehensive recovery and family supports delivered by peer advocates, intensive treatment services for members of the armed services and veterans and the delivery of 24/7 crisis management and intervention services. The Enhanced Staten Island CCBHC will expand the use of evidence-based treatment services by using: Motivational Interviewing, Integrated Dual Diagnosis Treatment, Individual Placement, and Support, Cognitive Behavioral Therapy for anxiety and depression, Screening, Brief Intervention and Referral to Treatment, Cognitive Processing Therapy, and Multidimensional Family Therapy. The Enhanced Staten Island CCBHC has 4 overarching goals/objectives: (1) Decrease mental health symptoms and substance use among the POF by conducting screening, assessments, and treatment planning and providing evidence-based, person/family centered, integrated, outpatient mental health and substance use treatment services; (2) Improve health and decrease health disparities among the POF by providing integrated primary care screening and health monitoring services, increasing health insurance coverage and connection to a primary care physician; (3) Increase social connectedness and employment among the POF by providing psychiatric rehabilitation services (PRS) and social support opportunities; and (4) Decrease preventable Emergency Department visits and hospitalizations by providing access to 24/7 crisis services.