The Puerto Rico MHAASA will implement a PR-PIPBHC 2023 Project for 2024-2028 for the Metro, Northeastern, Central Eastern, Eastern and Western Health Regions in areas classified as HPSA to improve PC/BH levels in 5 subrecipient CMHCs, addressing needs of SMI or co-occurring SUD patients. Goals are 1. Accelerate integrated PC/BH in 5 CMHC's to increase access to treatment/recovery of patients; 2. Strengthen CMHCs' infrastructure to support full PC/BH integration; 3. Achieve documented improvements in PC and BH indicators of SMI/SUD adults; and 4. Demonstrate improvements in dimensions of Wellness through use of WSM+ EBP. A total of 834 unique Hispanic clients are to be served over a 5 year grant period. Objectives are directed to increasing levels of PC/BH integration in all 5 CMHS. An integrated care steering committee with persons with lived experience will exercise project leadership. A 2016 PR needs assessment showed 18.7% of adults in PR meeting criteria for SMI, with an estimated increase due to repeated natural disasters in recent years. The population of focus will be that of municipalities of the Salud San Juan (San Juan), HealthproMed (Guaynabo/Cataño, Vieques, Culebra), CSILO (Rio Grande, Ceiba), NeoMed (Gurabo, Juncos, Naguabo) and Costa Salud (Rincon, Moca, Aguada). Required integrated services will be implemented in CMHCs, including physical, MH, SU, including ATOD with SBIRT tools, dental, nutritional, and other screenings; development of plans for integrated services leadership and sustainability; training and technical assistance for workforce on SBIRT, WSM+, and MI EBPs; and policy and procedural modifications to CMHCs' clinical and administrative infrastructure to support integrated care, all considering CLAS for Hispanic environment. Central and key staff includes PD, Administrative Coordinator, Clinical Coordinator, Lead Evaluator and Finance Technician. Data collection and performance measurement at subrecipient level will be done at baseline, 6-month post baseline and discharge, and includes submission in SPARS, GPRA and other SAMHSA formats for CQI, with MHAASA support from Office of Federal Funds and Planning, Training, Finance, and IT units.