Certified Community Behavioral health Clinic Planning, Development, and Implementation - Boundary Regional Community Health d/b/a/Kaniksu Community Health’s (KCH) CCBHC application will develop and certify a CCBHC in Northern Idaho serving Boundary and Bonner counties. KCH intends to build upon its comprehensive service delivery options through the planning, development, implementation, and certification process required of the SAMHSA CCBHC-PDI opportunity. By grant end, KCH will be delivering high-quality mental health disorder and substance use disorder (SUD) treatment, recovery supports to individuals in the target service area with a SUD, serious mental illness (SMI), children and adolescents with a serious emotional disturbance (SED), individuals with a co-occurring mental health and SUD disorder, and individuals experiencing mental health or substance use-related crisis. KCH intends to fill a needed mental health, substance use disorder, and primary care treatment gap in Northern Idaho. Through the CCBHC development, KCH will improve the access and overall health of the residents, whether they are insured, under insured, and regardless of ability to pay for services. POPULATION TO BE SERVED: KCH will serve individuals in Boundary and Bonner counties with mental health, substance use disorder, and who are also women of child bearing age (15-44) and pregnant women at risk for depression, anxiety, and suicide. STRATEGIES/INTERVENTIONS: KCH’s strategy to CCBHC implementation is to expand upon its current outpatient mental health and integrated behavioral health services. The additional funding will allow KCH to develop a reverse integration model that incorporates population health management to integrate primary care, substance use disorder, and 24-hour crisis treatment and services to not only meet the nine core CCBHC criteria but to increase access to health services in rural communities. PROJECT GOALS AND MEASURABLE OBJECTIVES: KCH will serve new, unduplicated patients in each grant year: 75 year 1; 125 year 2; 125 year 3, and; 175 in year 4, for a total of 500 new patients and 1,112 total unduplicated patients served during the four-year project. The project goals include 1)Increase access to and availability of high-quality behavioral health services that are responsive to the needs of individuals with qualifying behavioral health diagnosis residing in Boundary and Bonner counties.2)Support recovery from mental health and substance use disorder challenges via the implementation of a comprehensive community-based mental and substance use disorder treatment program and supports. 3)Implement evidence-based practices that address the behavioral health needs of the residents of Boundary and Bonner counties. 4)Measure and improve the quality of behavioral health services delivery within KCH.5)Involve consumers and family members in their own care and the broader governance of KCHs CCBHC services. 6)Establish a Project Evaluation and Quality Improvement Process to monitor the implementation of the CCBHC and ensure quality of services and supports. 7)Promote sustainability and expansion of CCBHC best practices by sharing key lessons learned, effective strategies, and beneficial outcomes with key stakeholders.