As of 2019 1 in 5 Americans were living with mental health disorder. We know that only ⅔ of those individuals received treatment (WHO report). Yet, in this past year we have seen a spike with 53% of adults reporting that COVID19 has negatively impacted their mental health (KFF report). We are seeing similar results amongst our Oak Street Health population. Forty four percent of Oak Street Health patients experience a mental health condition. One of Oak Street Health goals is to make it possible for every patient who needs behavioral health services to get effective quality care quickly. Using the core components of the proven Collaborative Care research, we designed and implemented a cohesive coordinated effort with a skillful team based care model. An experienced leadership team combined with our technology enabled approach addresses systemic care gaps, lack of follow up and accountability to produce high quality outcomes.