Serving Children and Adults in Need (SCAN), Inc., is proposing to implement its Serenidad Comprehensive Behavioral Health Project in Webb County, Texas, situated along the Texas-Mexican Border. Project Purpose and Population of Focus. The project aims to provide comprehensive, coordinated and evidence-based services to improve housing stability and behavioral health outcomes for male and female individuals, youth, and families with serious mental illness (SMI), serious emotional disturbance (SED), or co-occurring disorder (COD) who are experiencing homelessness or are at imminent risk of homelessness. Persons to be Served. The project will serve a total of 500 unduplicated clients (60 per year) throughout the five-year project. Statement of the Problem. U.S. Hispanic households face poor housing conditions, high rent burdens, overcrowding, and are often underrepresented in housing and homelessness assistance programs. Nationally, Texas has the 2nd highest prevalence rate for adult mental illness, the 3rd highest prevalence rate for substance use disorder in the past year, the 3rd highest rate for adults with serious thoughts of suicide, and ranks 6th highest for the number of adolescents with a substance use disorder. Texas ranked very low (44th) for its high prevalence of mental illness and low rates of access to care for both children and adults, last (51st) for access to care, and 50th for number of adults with mental illness who are uninsured. Webb County is a Health Professional Shortage Area (HPSA) for behavioral health services. The areas with highest risks for homelessness and behavioral needs are concentrated pockets of poverty in South Laredo and in unincorporated subdivisions that lack adequate housing and basic services. Strategies/Interventions. SCAN will provide outreach and engagement and will implement a linguistically-and culturally-appropriate service delivery plan that will include screening for mental health, substance use and CODs; care management; psychiatric services; telehealth; and integrated treatment in collaboration with medical care providers. EBPs used include Motivational Interviewing, Seeking Safety, Acceptance and Commitment Therapy, Dialectical Behavioral Therapy, and the Matrix Model. The project addresses the co-occurring needs of clients with mental health and substance use disorders in outpatient and residential settings. SCAN will provide comprehensive peer support recovery services led by staff with lived experiences that will include childcare and recovery housing. All clients will be linked to the CoC's Coordinated Entry System to help them access housing assistance. The project will have grievance and conflict resolution processes in Spanish and English in simple language that is accessible to all participants. The project will create a culturally and linguistically diverse Steering Committee composed of community partners, individuals, and family members who are currently experiencing homelessness or have experienced homelessness and are recovering from behavioral disorders. Project Goals: Implement a trauma-informed, culturally responsive, and developmentally appropriate service delivery plan that addresses the comprehensive needs of adults, youth, and families in homeless situations or at risk of homelessness, including recovery and peer support, case management, care coordination, and ongoing care; Address barriers to access that contribute to disparities by meeting the cultural and linguistic needs of the clients and their families; Provide treatment that facilitates recovery and leads clients to experience significant improvements in health, wellness, and housing stability at discharge and 6-month follow-up; Ensure the project is rooted in the community through seamless integration of the project into the community's infrastructure, regular support and feedback from community stakeholders, and meaningful engagement of participants in the ongoing direction of the project.