Project Summary: South Central Alabama Mental Health Board (SCAMHB), a public, non-profit, comprehensive community mental health center, is applying for CCBHC-PDI funding as there is greater demand for acute behavioral healthcare care in Covington County than can be provided by existing resources. This service gap, specifically for the treatment of low-income individuals with Severe Mental Illness (SMI), Severe Emotional Disturbance (SED), Substance Use Disorders (SUD), and co-occurring disorders (COD), can be reduced with our proposed CCBHC. Geographic Catchment Area: Covington County, of south central Alabama. Project Name: South Central Mental Health Board CCBHC Program. Populations to be served: Low-income children, adults and seniors, with high rates of being uninsured, and with behavioral health (BH) needs, specifically individuals with SMI, SED, SUD, and COD. Number to be served: Year 1: 100; Year 2: 150; Year 3: 200 Year 4: 250; Life of project: 700. Project strategies/interventions: SCAMHB will use a combination of several evidence-based- interventions, including Cognitive Behavioral Therapy (CBT), Trauma-Informed Care (TIC), and Medicated-Assisted Treatment (MAT). Project goals and measurable objectives: Our goals include: Decrease symptoms of psychological distress by increasing access to mental health (MH) care; Screen for ACEs among children, and screen for trauma among adults and refer to MH services; Increase access to SUD care and reduce use of substances. Measurable objectives are as follows: 1) Each grant year, screen 90% of those projected to be served by the CCBHC for MH conditions, including depression and anxiety; 85% of those at-risk will accept referral to MH services; 2) Each grant year, 65% of CCBHC patients will have reduced risk for MH conditions, including depression and anxiety, as indicated by improvements in PHQ-9 scores and GAD-7 scores between assessments; 3) For each grant year, screen 90% of those projected to be served by the CCBHC for suicide risk using C-SSRS; 85% of CCBHC patients screened at-risk for suicide will develop a crisis plan; 4) Each grant year, screen 90% of children/adolescents projected to be served by the CCBHC for ACEs; 60% of those at-risk will accept referral to services; 5) Each grant year, screen 90% of adults projected to be served by the CCBHC for trauma; 60% of those at-risk will accept referral to services; 6) Each grant year, screen 90% of those projected to be served by the CCBHC for substance use, using UNCOPE and CRAFFT; 75% of those at-risk will accept referral to SUD services; 7) Each grant year, 65% of CCBHC patients will have reduced substance use, as indicated by improvements in screening scores between SUD assessments. As a decades-long BH provider, SCAMHB is already providing comprehensive MH and SUD services, so we will be excited to formalize these services into the CCBHC model of care.