Summary. The NFusion Metro System of Care will improve mental health outcomes for children, youth and young adults (birth to age 21) at risk for or with serious emotional disturbance (SED) and their families by expanding access to trauma and grief informed, culturally responsive evidence-based mental health services and related recovery support services, improved policy, practice and infrastructure, cross-agency collaboration and sustainable financing Hinds County (Region 9 Mental Health), a rural medically underserved county in Central MS. The NFusion Metro System of Care expansion will ensure that children, youth, and young adults at risk for or with SED, and their families, receive quality SOC services within their communities, and that providers collaborate to coordinate care in a family-friendly and culturally responsive manner. EBPs will include Screening, Brief Intervention and Referral to Treatment; Trauma-Focused Cognitive Behavioral Therapy; Transition to Independence Process (TIP) Model; Parent Child Interactive Therapy; Wraparound; Crisis Intervention Team (CIT) training; Mental Health First Aid/Youth Mental Health First Aid/Question, Persuade, Refer (QPR); youth-guided peer support and family leadership. Project Name: NFusion Metro System of Care. Populations served: 51% Female; 48% Male; 1% Transgender; 5% LGBTQIA+; 90% African American; 2% Multiracial; 1% American Indian; 1% Asian; 2% Hispanic/Latinx/Spanish Speaking; 50% trauma/grief-involved; 45% COD; 85% below poverty level; Birth to 21: 1% birth < 5; 1% ages 5-9; 11% ages 10-12; 37% ages 13-15; and 50% ages 16-21. Strategies: The SOC expands trauma and grief informed care, cultural and linguistically responsive evidence-based mental health services, suicide prevention and intervention, policy development with a co-serving network of agencies strengthening transitional planning, integrated mental health treatment with cross-agency care coordination coupled with wraparound recovery support services with linkages to vocational counseling, education services, primary healthcare, dental, substance abuse prevention, stable housing, including independent living. Each participant will work with a care team that facilitates the identification and implementation of an individualized service plan in partnership with the child/youth, family, supports to achieve their personal goals. The SOC expansion will include family/youth peer support, family and youth leadership development, mentoring, and youth-guided activities. Goals: 1) Expand, integrate and sustain the SOC improving access, infrastructure and sustainable financing while ensuring a flexible, innovative CQI approach, cross-agency collaboration, implementing trauma/grief informed care; 2) Meaningfully involve children, youth and young adults and family/caregivers in their own care and the broader governance of the SOC; 3) Facilitate a network of co-serving providers wrapped around the system of care who use trauma and grief-informed care, evidence-based practices and programs to assess, screen, treat, and manage mental health, including suicide risk; 4) Improve mental health functioning, embedding evidence-based and evidence-informed services and supports in early childhood, youth and young adult intervention services and mental health disorders treatment; and 5) Improve health equity with targeted outreach in underserved communities to engage racial, ethnic and LGBTQIA+ minorities. Objectives: Between 9/30/24-9/29/28: 1) 100% of 400 will improve access; 2) 80% will improve mental health functioning; 3) 80% will improve employment/education; 4) 80% will reduce criminal justice involvement; 5) 80% will improve housing stability; 6) 80% will reduce admissions to inpatient psychiatric hospitals; 7) 80% will improve social connectedness; and 8) 85% will report high client perceptions of care. # served: 100 in Year(s) 1-4, totaling 400 in four years.