Egyptian Health Department (EHD) Project Connect 4.0 (PC 4.0) proposes to serve children, youth, and young adults ages 6 to 21, at risk for or with serious emotional disturbance (SED), or serious mental illness (SMI) and their families. An emphasis will be placed on those with multi-system involvement, those in need of crisis services and those needing assistance addressing social determinants of health. The geographic catchment area will be Gallatin, Saline and White Counties in rural southeastern Illinois. There are 41,556 individuals living in the catchment area, of whom 10,125 are ages 0 to 21. The percentage of males ages 0 – 21 is slightly higher (52%) than the percentage of females (48%) in the combined catchment area. An estimated 350 (20%) individuals ages 18 – 21 in the catchment area identify as a sexual minority (Jones, 2023, Gallup, 2023). The 2022 Illinois Youth Survey (IYS) found that 14–22% of 8th, 10th and 12th grade students in Saline County and 10 – 15% of 10th and 12th grade students in White County identify as LGBTQ+. Twenty-four percent (24%) of children under 18 live below the federal poverty level (FPL) in Gallatin County, 21% in Saline County and 18% in White County. All Black or African American residents in Gallatin County and 41% in White County live below the FPL. In Saline County, more than half (56%) of American Indian or Alaska Native individuals live under the FPL. Project Connect 4.0 proposes to serve 600 unduplicated youth over entire grant project with 75 being served in Year 1; 175 in Year 2; 175 in Year 3 and 175 in Year 4. This project builds upon the existing Project Connect System of Care (SOC) that was developed in 2009 and expanded and sustained in 2016 and 2020 with grant awards from the Children’s Mental Health Initiative SOC from SAMHSA. Project Connect 4.0 goals include the implementation of the CAMS (Collaborative Assessment and Management of Suicidality) Framework to work collaboratively with adolescent patients and their families to devise treatment and stabilization plans that build trust and mutual understanding; ensure that youth experiencing crisis receive a trauma-informed, individualized assessment; increase availability and delivery of crisis stabilization supportive services, utilizing a Home and Community Based Services (HCBS) model; develop and implement an Intensive Outpatient Program (IOP) providing trauma-informed Evidence Based practices which will include EMDR (Eye Movement Desensitization and Reprocessing), MAP (Managing Adaptive Practices), and SBIRT; develop and Implement an Intensive Care Coordination Crisis Program, following the Illinois HFS Care Coordination and Support Organization (CCSO) model tailored to youth experiencing crisis who are not yet involved in or are otherwise ineligible for the state-driven CCSO program; leverage and enhance EHD’s CMS-funded Integrated Care for Kids (InCK) program to routinely conduct social determinants of health (SDOH) screenings to identify needs of youth and families in crisis,utilize the Youth Aware of Mental Health (YAM) evidence-based suicide prevention curriculum to decrease suicidality, increase youth awareness of mental health concerns, and improve suicide prevention messaging in schools; and collaborate with the Suicide Prevention Task Force to increase community awareness of suicide among youth, specifically utilizing information within the region. A summary of the measurable objectives include implementation of the CAMS framework and CAMS 4 Teens, Crisis Stabilization Support Plan tool; utilize the Crisis Assessment Tool (CAT) and the Columbia Suicide Severity Rating Scale (CSSR); utilizating SBIRT (Screening, Brief Intervention, and Referral to Treatment) for clients with substance use concerns; hire 2 Family Resource Developers (FRDs) who will serve 50% of caregivers and youth provide Intensive In-home Services and Intensive Outpatient Services and collaborate with SDOH providers.