FY 2024 Behavioral Health Service Expansion - The Bighorn Valley Health Center, Inc. dba One Health (One Health), a Federally Qualified Health Center (FQHC) in rural Montana and Wyoming, is applying for Behavioral Health Service Expansion (BHSE) funds to increase the number of patients receiving mental health services and increase the number of patients receiving SUD services, including treatment with medications for opioid use disorder (MOUD) in a sixteen-county area of rural Montana and Wyoming. Founded by physician leaders in response to community needs, One Health opened its doors in Hardin, Montana, in October 2012 and has been consistently guided by its mission to improve the wellbeing of everyone by providing accessible, quality health care to the whole community. With this proposal we intend to make strategic investments to scale up an innovative approach to delivering a model of coordinated, evidence-based, trauma-informed mental health and SUD services to community members living in our rural service area. We will build on successful work with existing collaborators to connect with the primary target population of this project, which includes all residents of the designated service area. BHSE funds will support the addition of 5.0 FTE new behavioral staff, including four licensed behavioral health clinicians. By December 31, 2025, we expect to provide mental health services to 1,187 new patients, SUD services to 172 new patients, including MOUD to 137 new patients across our service area.