Wayne County Hospital (WCH) (Corydon, IA) requests funding for their Advancing Rural Iowa's Services in Emergencies (ARISE) project. The goal of WCH's Rural EMS Training project is to increase capacity of WCH and the communities' EMS agencies to provide emergency and critical care transports, through more accessible training opportunities and a larger quantity of trained and certified EMS personnel, which will in turn lead to improved health outcomes for those in the region requiring EMS services. This goal will be reached by expanding the capacity of current WCH personnel and recruiting & training additional individuals in Emergency Medical Response (EMR). WCH will partner with Indian Hills Community College (IHCC) to provide EMR and EMT training and Des Moines Area Community College (DMACC) to provide Paramedic and Critical Care Paramedic (CCP) training.The population of focus for this project encompasses Wayne County and surrounding areas. The communities being served face significant economic, geographic, educational, and healthcare challenges that hinder their quality of life and are meaningful barriers to overall well-being. Wayne County residents have higher rates of uninsured, more residents living in poverty compared to the state, and lower level of education and median household income. Wayne County meets the criteria for rural designation due to being in nonmetropolitan statistical areas. Additionally, all of Wayne County is designated by HRSA as a Health Professional Shortage Area (HPSA) for mental, dental, and primary care. The principal goal of the project is to increase the capacity and competencies of Wayne County Hospital's EMS personnel, particularly in responding to mental health crises and substance use disorder emergencies - in turn leading to improved health outcomes for those in the region who require EMS services. WCH has developed the following objectives to measure the success of this training project in achieving the overarching goal: In year 1, WCH, in collaboration with partners, will have trained at least forty-four (44) unduplicated individuals total - 30 WCH health professionals and 14 community members - with the grant funds during the initial 12-month budget period. In year 2, WCH, in collaboration with partners, will have trained at least forty-five (45) unduplicated individuals total – 30 WCH health professionals and 15 community members – with the grant funds during the second 12-month project period.