In partnership with SMI Adviser, this report was developed by the National Association of State Mental Health Program Directors (NASMHPD) and the NASMHPD Research Institute (NRI) based on guidance from convening expert panel meetings, interviewing subject matter experts, and conducting a literature review. It is designed to offer strategies and key lessons for developing, implementing, financing, and sustaining behavioral health services for individuals who have SMI and live in rural and remote communities.