Columbia Wellness and Willapa Behavioral Health, nonprofit mental health agencies in southwest Washington state, partnered to create CARE: Coordinating Agencies’ Response to Early Childhood Needs. Our vision is a seamless birth to age 8 coordinated continuum of care that nurtures healthy development and wellness of children through the prevention, early identification, and treatment of mental, emotional, and behavior disorders with evidence-based practices. Targeting 1,800 unduplicated individuals annually and an estimated 9,000 throughout the lifetime of the project, we designed our continuum based on a catchment area with the greatest need. The CARE continuum is in partnership with primary and early child care providers, community-based organizations, and 4 elementary schools in 3 school districts. Demographics for targeted children are 70% Caucasian, 19% Hispanic, 6% multi-racial, 2% Asian, 1% Native Hawaiian/Pacific Islander, 1% African-American, and 1% Native American/Alaskan. Our median household income averages 44,984, substantially lower than the state 65,500, with an average free and reduced-price lunch rate of 66% in our target counties, compared to the state average of 43%. Clinical characteristics of our target population show a need for early identification, healthy and supportive environments, behavioral health services, and coordinated services. CARE has five key goals areas: (a) train and support early care, schools, and primary care providers in the use of tools for social and emotional development and caregiver screeners; (b) conduct family education initiatives to strengthen parenting skills that provide optimal, supportive environments for children; (c) equip primary care settings to address behavioral health through on-site consultation/training, screening, assessment, interventions, and referrals; (d) assist early care and education to create optimal learning settings and identify and address social, emotional, and behavioral concerns; and (e) ensure a coordinated continuum of care birth- age 8. Our proposal includes 18 measurable objectives. Implementation will be supported by grant funded staff (Project Director, Evaluator, 2 Nurse Navigators, 2 Early Interventionists, 2 School Therapists) and existing staff (Project Leads, WISe Therapists, Mental Health Specialists). Core strategies and interventions include: developing a strong momentum among stakeholders through a Young Child Wellness Council; designing a tri-county child wellness plan to empower coordination and collaboration; conducting a public awareness campaign to educate our community on the importance of promoting the wellness of young children by addressing their social, emotional, cognitive, physical, and behavioral development; using validated instruments to support universal screening of children and parents; providing services for children referred for interventions through evidence-based practices such as CBT+, TF-CBT, and a wraparound model through our state WISe initiative; implementing the EBP Incredible Years, to support parents, child care providers, and teachers in addressing social and emotional development; and providing community parenting classes based on common social, emotional, and behavioral issues identified by parents and caregivers.