Swain Community Outreach has three main tiers: mental health treatment substance use treatment and community outreach. Mental Health treatment encompasses assessment treatment planning psycho-education collaboration with family and collaterals skill building crisis management linkage case management and applying evidence-based treatment to reduce symptoms and meet treatment goals. We currently serve children adults and families offering a variety of payment options including Medicaid Medicare VA self-pay with a sliding scale and private insurance. Substance use treatment includes the above in addition to community psycho-education and harm reduction services. Community Outreach has so far included assisting with crisis management responding to and providing case management for Hurricane survivors and homeless outreach including setting up a warming center and daily meals.