Aspire's project, "Caring for the Whole Person: Improving Physical and Mental Health for People with Serious Mental Illness," will integrate primary health care into Aspire's outpatient mental health facilities. The Population to Be Served consists of Aspire adult mental health consumers from four Recovery Support Teams in Hamilton, Madison, and Marion counties who have serious mental illness and who have or are at risk for co-occurring health conditions/chronic illnesses. Aspire will provide on-site primary care, care coordination; health promotion; comprehensive transitional care from inpatient to other settings; individual and family support; and referral to community and social support services, including follow-up. Aspire will integrate primary and behavioral care in four community mental health facilities; promote ongoing integration between behavioral care and primary care for SMI population; provide holistic/recovery-centered consumer wellness; and assess the interventions' effectiveness. The number to be served by year are: Year 1 - 292, Year 2 - 728, Year 3 - 1,165, Year 4 - 1,456.