Maine Behavioral Healthcare (MBH) is proposing to plan, develop, and implement (PDI) a Certified Community Behavioral Health Clinic (CCBHC) in Midcoast Maine (ME) encompassing Waldo and Knox Counties, which include the island communities of Islesboro, Matinicus, Monhegan, North Haven, and Vinalhaven (the Islands). MBH has established clinics in the Midcoast area: one in Rockland (Knox County) and one in Belfast (Waldo County). Each works closely with Coastal Healthcare Alliance (Waldo County General Hospital and Pen Bay Medical Center) the local hospital system and members of MaineHealth. These two clinics, collectively led by a leadership team comprised of a Regional Medical Director, Practice Manager, and Clinical Director, will form the Midcoast CCBHC. The population of focus (POF) for the Midcoast CCBHC will include those that are rural, low income or living in poverty, seniors, youth, pregnant or parenting, living with disabilities, and housing insecure. The disparities the CCBHC project will impact are access; health inequities based on race, poverty especially in the coastal fishing community, ethnicity, or culture; stigma; and the lack of availability of a continuum (screening through ongoing recovery) of integrated mental health, substance use disorder, and primary care services and supports. The Midcoast CCBHC will serve 625 over the lifetime of the project (Y1=75, Y2=150, Y3=200, Y4-200). MBH has a history of implementing recovery-oriented, trauma-informed, and equity-based programs, practices, and policies that are the primary means for improving behavioral health. MBH currently provides, directly or through its DCO partner (Sweetser), many of the core CCBHC services. MBH under the guidance of the Project Director (PD) and the Clinical Leadership of the Regional Medical Director and Clinical Director, will implement infrastructure activities to address the operational changes needed to meet the certification criteria and improve the quality and effectiveness of services including strategies to address behavioral health workforce shortages and improve access to care by implementing a two-year advanced clinical training program. Goals for the funding period: 1) Increase access and availability to behavioral health services, 2) Improve integration of SUD, MH, and COD programming, and 3) Continually work to measure and improve the quality of services. Objectives include recruitment, hiring, training, and retaining staff positions; implementing team-based care; expanding the existing Hub and Spoke model for SUD to include all behavioral health populations, improving protocols and processes; and developing and implementing systems to track clinical and programmatic data including referral, services, workflow, and outcomes.