The FY24 Behavioral Health Service Expansion Project aims to address critical gaps in mental health and substance use disorder (SUD) services at CCI Health Services. By expanding access to culturally competent care tailored for LGBTQ+ individuals and those with SUDs, we will address significant barriers such as fragmented care systems, workforce shortages, and stigma. In 2023, CCI provided care to 37,246 patients, yet fewer than 9% accessed mental health services and less than 1% accessed SUD services. Our strategy includes hiring specialized mental health counselors, enhancing telehealth services, and integrating primary care with behavioral health. Training initiatives will equip our staff with proficiency in LGBTQ+ cultural competency, and partnerships with local health departments and organizations will enable comprehensive care, enhance patient outcomes, and strengthen community health. As a result of these interventions, CCI anticipates increasing the number of patients receiving mental health services, and SUD services, including treatment with medications for opioid use disorder.