The Appalachian Mountain Community Health Centers (AMCHC) has been awarded a $600,000 Project Grant from the Health Resources and Services Administration's (HRSA) Community Health Centers program (CFDA 93.224) to expand behavioral health services in rural Western North Carolina. Through this grant, AMCHC will establish a new specialty mental health and substance use disorder treatment clinic, including an individualized outpatient program and medication for opioid use disorder treatment. This expansion will serve primarily low-income residents in Cherokee, Clay, Graham, and Macon counties, where there is a shortage of behavioral health providers and elevated rates of substance use disorders and mental health challenges. The project will fund the hiring and training of a psychiatric provider, three licensed clinical social workers, two community health workers, a registered nurse, a certified peer support specialist, a care manager, and administrative support staff to deliver these expanded services at an existing AMCHC clinic site in Murphy, North Carolina. This project aims to increase access to critical mental health and substance use disorder treatment in this underserved Appalachian region.