The Alaska Mental Health Trust Authority has provided pilot funding to a Federally Qualified Health Center in Anchorage to support implementation of IMPACT and two Alaska Native tribal health corporations to support implementation of IMPACT and SBIRT (Substance Brief Intervention and Referral to Treatment). The purpose of this pilot program is to determine if integrated mental health care can be effective given the unique challenges faced by primary care clinics in Alaska. Qualitative and quantitative information gathered will be used to determine what, if any, adaptations are necessary to implement integrated mental health care in Alaska. If implementation is successful, the Trust will present the findings to the state legislature and other health care payers to encourage policy changes that promote implementation. The project is using a patient registry (CMTS [1]) that tracks and measures patient goals and clinical outcomes, and facilitates treatment adjustment if a patient is not improving as expected.