CENTERS FOR YOUTH AND FAMILIES' CCBHC EXPANSION PROJECT - THE EXPANSION GRANT FUNDS CENTERS FOR YOUTH AND FAMILIES (TC) TO BECOME A CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC TO ADVANCE PRIMARY-BEHAVIORAL HEALTH INTEGRATION AND USE EVIDENCE-BASED PRACTICES TO INCREASE SERVICES TO 550 INDIVIDUALS (0+) IN PULASKI COUNTY ARKANSAS WITH COMPLEX PHYSICAL/BEHAVIORAL HEALTH DISORDERS, INCLUDING OPIOID DISORDERS. PULASKI COUNTY IS INUNDATED WITH RACIALLY SEGREGATED, UNDERSERVED COMMUNITIES BOTH PHYSICALLY AND MEDICALLY. THE MAJORITY OF THE GEOGRAPHIC AREA IS CONSIDERED METROPOLITAN WITH URBANIZATION CONCENTRATED IN THE CAPITAL CITY OF LITTLE ROCK. PULASKI COUNTY IS A HRSA-DESIGNATED MEDICALLY UNDERSERVED AREA AND HEALTH PROFESSIONAL SHORTAGE AREA IN THE PRIMARY HEALTH AND BEHAVIORAL HEALTH DOMAINS. PULASKI COUNTY HAS THE HIGHEST RATE OF MENTAL HEALTH CLIENTS SERVED THROUGH THE ARKANSAS STATE HOSPITAL (ASH) AND CMHCS INDICATING THAT INDIVIDUALS ARE IN ACUTE CRISIS BEFORE ACCESSING CARE. AMONG CLIENTS HOSPITALIZED WITH ASH OR CSU, 20% FAIL TO KEEP THEIR 7-DAY POST-ACUTE HOSPITALIZATION APPOINTMENT. NOT ONLY IS CARE MADE LESS ACCESSIBLE BY THE PHYSICAL LANDSCAPE OF PULASKI COUNTY (SOME CLIENTS CHANGE BUSSES 6 TIMES ROUNDTRIP), BUT OTHERS REFUSE CARE BECAUSE OF INHERENT DISTRUST IN THE CURRENT HEALTH CARE SYSTEM. THE TARGET POPULATION IS COMPRISED OF THE FOLLOWING INDIVIDUALS IN ALL OF PULASKI COUNTY (AS OPPOSED TO THE CURRENT AREA OF SOUTHERN PULASKI COUNTY): CHILDREN (0+) WITH SERIOUS EMOTIONAL DISTURBANCE (SED) AND PERSONS OF ALL AGES WHO HAVE OR ARE AT RISK FOR: 1) SERIOUS MENTAL ILLNESS (SMI), 2) SUBSTANCE USE DISORDERS (SUD), INCLUDING OPIOID DISORDERS, 3) CO-OCCURRING MENTAL HEALTH AND SUD (COD). THE CATCHMENT AREA IS APPROXIMATELY 53% WHITE, 37% BLACK, 6% HISPANIC, 2% ASIAN, AND