Mercy Health - St. Vincent Medical Center, the lead agency for the Northwest Ohio EMS Consortium, will implement Emergency Medical Services (EMS) training in the following rural counties and census tracts located in northwest Ohio in Year 1: Fulton County, OH (rural census tract 040900), Henry County, OH (rural census tract 000600), and Seneca County, OH (rural census tract 963500). The proposed activities will strengthen the quality and consistency of training of EMS personnel in these counties by delivering basic and advanced continuing education in the areas of acute care, critical care, and trauma care, while also establishing new competencies in behavioral health, including the ability to recognize and identify underlying behavioral health issues and serious mental illness (SMI) in the population and to interact with these individuals in a therapeutic manner. The provided training will be responsive to the needs of the communities in which the EMS personnel serve. With funding from the Substance Abuse and Mental Health Services Administration (SAMSHA), Mercy Health will be able to provide educational services to at least 120 unique rural EMS personnel in Year 1, and an additional 120 unique rural EMS personnel in Year 2 (for a total of at least 240 unique individuals over the funded two-year period).