SCHARP CCBHC Crenshaw - SCHARP Crenshaw CCBHC Improvement & Advancement bolsters existing behavioral health services to reduce recidivism, opioid related death and return to homelessness. Black Angelenos, who represent over 70% of Crenshaw & Leimert Park residents, are at exponentially higher risk. Southern California Health and Rehabilitation Program, a Black-led organization, will close these health disparities for 450 clients experiencing serious mental illness and substance use disorders. SCHARP has been a continuous provider of Behavioral Health (BH) and related services to adults and children in Los Angeles County since 1994. The Population of Focus is unhoused and/or justice involved Black adults and young adults in South Los Angeles with serious mental illness (SMI) or substance use disorders (SUD), including veterans. Children/adolescents with serious emotional disorders (SED) are also included, and those with co-occurring disorders (COD) and a general SMI/ SUD/SED/COD population. Strategies and interventions include process improvements to enhance delivery of the nine CCBHC Core Services (Crisis mental health services; Screening, assessment, diagnosis, and risk assessment; Patient-centered treatment planning; Outpatient mental health and substance use services; Primary care screening; Targeted Case Management or TCM; Psychiatric rehabilitation; Peer support; Intensive, community-based mental health care veterans). Interventions also include Evidence Based Practices: Motivational Interviewing; Seeking Safety; Cognitive Behavioral Therapy; Assertive Community Treatment (ACT). Goal 1 is to reduce risk of opioid related deaths in POF through onsite, same day MAT/MOUD treatment. Related objectives are to train all staff in MAT/MOUD and Targeted Case Management for SUD, ensure at least one MAT prescriber is scheduled daily for walk-in treatment, establish a trigger and same-day referral in internal workflow for OUD risk, as well as quality assurance program to ensure 42 CFR Part 2 documentation. Goal 2 is to Reduce POF risk of returning to homelessness by increasing access to Targeted Case Management & Assertive Community Treatment, an Evidence Based Practice. Related objectives are to establish risk assessment for return to homelessness, 100% enrollment in of those at risk in TCM and ACT, and engage population health strategies to stratify risk and focus team efforts. Goal 3 is to reduce recidivism through peer support by ensuring 100% of clients with recent incarceration are paired with peer with lived experience of justice involvement. Target minimum number of clients served are as follows: 75 in Year 1; 125 each year for Years 2 through Year 4 (Total 450 over four years).