The Lawrence County (IL) Health Department (LCHD) and a consortium of children, youth and family related partner and collaborating organizations will expand and sustain efforts to improve mental health outcomes for children and youth (age 0-21), at risk for or with serious emotional disturbances (SED), and their families and/or caregivers. This population of focus (POF) will be provided high-quality services within a well-coordinated and integrated System of Care (SOC) that is already being operated by LCHD. Targeted subpopulations within the POF include: those with or at risk for SUDs; single-mothers; and, communities of color, including those who may have linguistic and/or culturally specific needs, demonstrating health disparities or unique mental health challenges. The project will serve at least 1,600 persons over a four year project period. The project service area (PSA) consists of eight rural counties in southwestern Illinois with a total population of over 100,000 persons. The counties served are Lawrence, Wabash, Crawford, Richland, Jasper, Effingham, Edwards and Clay Congressman Mike Bost (IL-012) is a strong supporter of the project. The project objectives are to: 1) Provide high-quality behavioral health and primary care and services to those in the POF diagnosed with SEDs and/or co-occurring disorders; 2) Deliver well-coordinated, integrated care within LCHD's SOC, while also providing wrap-around services and other key health, human and social service supports; 3) Conduct community-based prevention, education and outreach activities focusing on those at-risk for SEDs and/or co-occurring disorders; and, 4) Maximize collaborations with community-based organizations, such as health care and health services providers, non-profits providing wrap-around supports for participants, local and State government agencies, private sector businesses, community and grassroots groups, faith-based organizations, etc. The project will prepare children and youth at risk for or with SED for successful transition to adulthood and assumption of adult roles and responsibilities. LCHD will deliver cost-effective services to participants and will coordinate care in a family-friendly and culturally responsive manner. All care and services provided will be based on research-validated evidence-based practices (EBPs). LCHD will carry out the project in close coordination with a wide array of community-based partner and collaborating organizations. LCHD is the largest public health provider in the service area, and also is the area's State designated Community Mental Health Center (CMHC). It has the organizational experience, expertise and capacity to carry out this project effectively. It has significant experience in the administration and oversight of federal grant funding, and is currently a SAMHSA grantee under the Certified Community Behavioral Health Clinic (CCBHC) grant program. LCHD is requesting $1,000,000 in federal funding annually for the project, and will also be providing an estimated $334,000 (1/3 match) annually in non-federal in-kind funding.