The Michigan Rural EMS Network (MiREMS) received a grant from SAMHSA to train 2,930 rural first responder personnel from EMS, fire, and police departments in three in-person, evidence-based mental health awareness training programs in Michigan's rural counties over a 5-year period. The three training programs are 1) a Mental Health and Substance Use Disorder Continuing Education program from MDHHS, 2) Stress First Aid and 3) Joint Training Programs that bring mental health professionals and first responders together for shared learning and coordination of services. The two goals of the grant are to 1) increase the number of first responders trained to recognize the signs and symptoms of serious mental illness (SMI) and/or serious emotional disturbances (SED) and 2) improve collaborative relationships with community-based mental health agencies to better coordinate services between first responders and mental health services.