Percentage of individuals 18 years of age and older with a diagnosis of mental and/or substance abuse disorder, who had a baseline assessment with ongoing monitoring, AND who had an adjustment to their care plan following assessment and monitoring. Three rates are reported. a. Percentage of individuals who had a baseline assessment in at least five (5) mental health domains including depression, anxiety, substance use, suicide risk and psychosis, as well as an assessment of functioning and recovery. b. Percentage of individuals who had a baseline assessment, who were monitored with follow-up for improvement or maintenance of symptom severity, functioning and recovery. c. Percentage of individuals who had a baseline assessment AND who had documentation of a clinical decision to adjust (or no adjustment) their care plan, including an adjustment to their medication OR therapy; OR referral OR consultation, following monitoring.