Burrell Project CCBHC-IA - Burrell Behavioral Health (Burrell) requests $4,000,000 over four years for Project CCBHC-IA to transform Burrell's community behavioral health system by enhancing and improving the established CCBHO. Project CCBHC-IA will serve Burrell's 18-county geographic catchment area (GCA) in Missouri to improve access to community-based mental health services and substance us disorder treatment and support, including 24/7 crisis services, to anyone in the GCA regardless of their ability to pay or place of residence. CCBHC-IA's population of focus (POF) is any individual with a mental or substance abuse disorder who seeks care, including those with a serious mental illness (SMI), substance use disorder (SUD), including opioid use disorder, children and adolescents with a serious emotional disturbance (SED), individuals with a co-occurring disorder (COD), and individuals experiencing a mental health or substance use related crisis. Studies show nearly 53% of adults in Missouri with a mental illness have unmet needs for specialized treatment and 57% of children with a Major Depressive Episode (MDE) never receive treatment; screening, assessment, and treatment needs are high (MHA, 2022). A 2021 Kaiser Family Foundation study found that overdose death rates have increased in Missouri from 16.4 per 100,000 to 36.5 per 100,000 - more than a 125% increase. Since 2010 Missouri's suicide rates have been consistently higher than the United States and in 2020 suicide was the third leading cause of death for youth 10-17 and adults 25-34 (CDC, WISQARS 2020). Burrell recognizes significant gaps in the GCA and will address them through this grant by modernizing aspects of the current mental health system, enhancing service delivery models, and improving the total health - physical, mental and social - of clients. Project CCBHC-IA will serve at least 400 clients annually (1,600 total). Burrell's Project CCBHC-IA will use the following strategies to implement the required activities: 1) Utilize current process, procedure and historical knowledge to improve upon the existing CCBHC model in place; 2) Continuously evaluate and assess effectiveness of programming to refine strategies and ensure delivery of high-quality care services and; 3) Maintain adherence to CCBHC Certification Criteria throughout the project period with oversight provided by Burrell's Accreditation Department. The Project Objectives include: 1) Use the CCBHC model to improve access to comprehensive community-based mental health, SMI, SUD, SED and COD care and services; 2) Deliver customized health, human and social services and supports using a wrap-around service model; 3) Provide top quality care and services utilizing evidence-based practices with fidelity on a consistent basis; and 4) Deliver care and services resulting in high levels of client satisfaction (e.g. - customer satisfaction).