Our project is titled Healthy Transition Mississippi. In this project we aim to aid transition age youth and young adults who are 16-25 who are at risk of or experiencing mental health and substance use problems and are not involved in school or work. We aim to do this through increasing capacity at three key Mississippi State University clinics, providing training on transition-aged youth to other providers, and conducting a statewide needs assessment which will aid us in synergizing our grants and programs to better serve our youth. Based on census data, there are 446,135 of these youth in MS (51.3% female; and 58.8% white; U.S. Census Bureau, 2022). Mississippi is the 4th most rural U.S. state, with 60.0% residing in rural areas. Per Mississippi's 2022 Uniform Reporting System (URS) submission, the current demographics of those receiving mental health and substance use services by DMH certified programs in Mississippi (July 1, 2021 - June 30, 2022) included: 25.6% (16,573) of 64,658 Mississippians served are between 13-24 years of age and retain either an SED or SMI designation; 52.1% female; and 51.1% Black or African American. Approximately 63,911 of the 64,658 Mississippians were served in the community. Of the 24,892 children under 18-years old with an SMI or SED designation, 11,797 reported living in a Private Residence. Additionally, 44 children and adolescents were cared for in a therapeutic foster care setting. THere are three primary unmet needs that will be met with the current project: 1. Needs assessment, 2. Identification and outreach, 3. Reducing barriers and providing care. Needs assessment: First and foremost, we will conduct a statewide needs assessment to learn how many of our youth and young adults are eligible for these services, how many are receiving mental health services and from where, and what are the barriers that are preventing those who are not from engaging in services. Identification and outreach: once we have completed our assessment of needs, we will look for the gaps where youth are failing to be identified and referred for treatment. We will then tailor our outreach to these groups that are being missed to double the proportion of those youth who are referred and also subsequently receive mental health services. Overall, we will provide treatment to at least 500 youth, 100 for each year, though we expect more to be identified and treated as we improve our identification with our needs assessment. Third, we realize there are many barriers to receiving care including the care often not being available, not being culturally or linguistically suitable, or not supporting individuals with developmental disabilities. We will increase the mental health capacity in the state through providing training as well as increasing our clinics' capacity, particularly in the middle of the state which is comparatively under-served by programs like this, to help improve access to care. In addition, we will provide new treatments, such as the family-focused services, which we believe will be a better fit for many of the diverse residents of our state who may not prefer to receive mental health support via traditional routes.