This presentation will focus on how the mental health crisis effected a rural community hospital system in East Central Illinois. We will show how everyone from the board of directors to the patient have been affected by the shortage of care. Using a panel discussion led by a psychiatrist/board member, hospital CEO, clinic director, family physician, and a family member we will illustrate how focusing on the unmet needs of all involved lead to the production of a successful integrated behavioral health program that was both efficient and effective. We will focus on what has been accomplished by implementing this initiative and reflect on issues that need to be addressed in order to sustain the viability of the program.