CASA-TRINITY CERTIFIED COMMUNITY BEHAVIORAL HEALTH CENTER (CCBHC) OF THE SOUTHERN TIER NY - CASA-TRINITY WILL CREATE A CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) THAT SERVES RESIDENTS OF THE HIGH NEED COUNTIES OF STEUBEN, CHEMUNG, LIVINGSTON AND TIOGA IN RURAL NY STATE IN NORTHERN APPALACHIA. IN THE FIRST YEAR, THE PROJECT WILL SERVE 5,500 PERSONS WHO HAVE SERIOUS MENTAL ILLNESS (SMI) OR SUBSTANCE USE DISORDERS (SUD), INCLUDING OPIOID USE DISORDERS; CHILDREN AND ADOLESCENTS WITH SERIOUS EMOTIONAL DISTURBANCE (SED); AND INDIVIDUALS WITH CO-OCCURRING MENTAL AND SUBSTANCE DISORDERS (COD). AN ADDITIONAL 1,350 INDIVIDUALS WILL BE SERVED IN THE SECOND YEAR OF THE PROJECT. THIS CCBHC WILL PROVIDE COMPREHENSIVE 24/7 ACCESS TO COMMUNITY-BASED MENTAL AND SUBSTANCE USE DISORDER SERVICES; TREATMENT OF CO-OCCURRING DISORDERS; AND PHYSICAL HEALTHCARE IN ONE SINGLE LOCATION, WITH LOCATIONS PLANNED THROUGHOUT THE REGION. TELEHEALTH WILL BE USED WHEN APPROPRIATE TO LIMIT TRAVEL, AND TREATMENT WILL BE PROVIDED IN A HOLISTIC, PATIENT-CENTERED MANNER. PARTNERSHIPS WITH COUNTY DEPARTMENTS OF COMMUNITY SERVICES, OTHER SUBJECT MATTER EXPERTS AND PRIMARY CARE PROVIDERS AS DESIGNATED COLLABORATING ORGANIZATIONS (DCOS) WILL BUILD CAPACITY FOR ADDRESSING THESE DISORDERS THROUGHOUT THE REGION.