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Our nation’s ongoing struggle to address the underlying mental health and substance use disorder crisis has not improved despite well-meaning, ongoing attempts. There are so many problems to solve at once: access, affordability, and financing. Overlaying this is a behavioral health workforce crisis. There are not enough behavioral health clinicians in practice now and in the pipeline. So, how can we meet the needs of those seeking help for mental health and substance use disorders? This year’s Crawford Lecture will challenge our assumptions about the workforce and force us to think differently about who does what for whom, where, and at what cost. For our communities to do something truly impactful around mental health and substance use disorders, we are going to have to reconsider the role of community. There is science that can guide us, and leaders who can show us the way. This Lecture will raise questions about how well our nation is meeting the needs of populations; promising solutions; and ways to immediately take action through community-based models of care. If we are serious about changing the trajectory of mental health and substance use disorders in this country, we have to go deeper into community to look for solutions that can help as many people as possible.