This proposal is to implement Youth Mental Health First Aid (YMHFA) in two South Carolina Counties (Newberry County: population 37,500 and Saluda County: population 20,000). To improve the counties' ability to identify youth in need of behavioral health services, we have identified adolescents aged 12 to 18 who are universally at risk for behavioral health disorders. Over the course of the three years, 310 First Aiders will be trained in each county by 1 of 6 Instructors. There is a significant need to link this population to services as demonstrated in data showing early alcohol and drug use, mental health issues (e.g., including externalizing behaviors, suicidality, etc.), and minimal access to the accessibility and availability of services. The closure of the mental health center in Saluda County in August 2011 has been a significant challenge for the population who now has to drive at least 30 minutes to receive services in a neighboring county. The existing referral resources within both counties will primarily include the behavioral health agencies (e.g., Westview Behavioral Health and Saluda Behavioral Health), Beckman Mental Health Center, and the schools. This is in addition to the existing health resources such as 911, Newberry Hospital, Poison Control, Crises Lines, and Emergency Rooms. There are no psychiatrists that serve adolescents in Saluda or Newberry County. Medical staff, such as psychiatrists and other physicians, will be accessed through the South Carolina Department of Mental Health or the Child Psychiatric Units as part of the hospitals in Columbia, SC.