Bridge CCBHC - McLeod Location - Bridge Counseling Associates, Inc., (Bridge) a Nevada Certified CCBHC proposes to ameliorate identified fragmentation in coordination of integrative healthcare and access to a behavioral health continuum as ongoing challenges in a high need and under-resourced area of the City of Las Vegas region at its location at 4221 McLeod Drive in Las Vegas. Bridge's CCBHC project proposes to serve all ages, genders, orientations, disabilities, cultures, religious affiliations and race/ethnicities, including those with serious mental illness; substance use disorder; children and adolescents with serious emotional disturbance; adults/adolescents with co-occurring mental health and substance use disorders; and adults, children, and adolescents experiencing a trauma-induced, mental health and/or substance use-related crisis, including members of the military, veterans and their families. The geographical catchment area within the Las Vegas metropolitan area is considered a minority-majority city, with Hispanic/Latinx (32.3%), and Black/African American (11.6%) as the primary population. In 2022, 20.9% of area residents reported no health care coverage, higher than the national rate of 9.8%. Residents identifying as Hispanic/Latinx report higher rates of uninsured status at 22.4%, with Black/ African Americans at 11%. Strategies and interventions include all CCBHC required activities including: 1) operate in compliance with CCBHC criteria; 2) collaboration with the state to maintain state CCBHC certification; 3) provide all nine core CCBHC services - crisis mental health services; screening, assessment, and diagnosis, including risk assessment; patient-centered treatment planning or similar processes, including risk assessment and crisis planning; outpatient mental health and substance use services; outpatient clinic primary care screening and monitoring of key health indicators and health risk; targeted case management; psychiatric rehabilitation services; peer support and counselor services and family supports; intensive, community-based mental health care for members of the armed forces and veterans; 4) conduct two community needs assessments; 5) submit attestations of compliance to SAMHSA; 6) infrastructure development activities; 7) meaningfully involve consumers and family members through an Advisory Team; 8) develop sustainability plan; 9) participate in SAMHSA CCBHC Technical Assistance Center activities. Goals and objectives include: Goal 1: Plan, develop and implement the CCBHC person-and family-centered integrated services and use targeted outreach to increase access and availability of high-quality services that are responsive to the emerging needs while addressing health inequities and behavioral health disparities. Objective 1.1: Between 09/30/2023 and 09/29/2027 ensure 100% of the 600 participants will enroll in services using targeted outreach strategies and social marketing efforts. Objective 1.2: Between 09/30/2023 and 09/29/2027, 100% of participants will receive accurate diagnosis and access to person-centered treatment planning. Goal 2: Improve behavioral health treatment outcomes while addressing health-related disparities and inequities each year of the 4-year project period. Objective 2.1: Between 09/30/2023 and 09/29/2027, 75% of consumers will improve mental health functioning outcomes as documented by NOMS between intake and discharge. Objective 2.2: Between 09/30/2023 and 09/29/2027, 75% of consumers with SUD will reduce substance use, as documented by NOMS between intake and discharge. Objective 2.3: Between 09/30/2023 and 09/29/2027, 80% of consumers will improve employment/education status as documented by NOMS between intake and discharge. Bridge will serve 150 people in year 1, 150 in year 2, 150 in year 3, 150 in year for a total of 600 people over the 4-year grant.