With service sites in Citrus and Marion Counties Florida, The Centers Inc. proposes a Primary and Behavioral Health Care Integration Project (PBHCI) to serve the residents of both Citrus and Marion Counties Florida. The purpose of the PBHCI project is to improve the physical health status of adults with serious mental illnesses (SMI) and those with co-occurring substance use disorders who have or are at risk for co-morbid primary care conditions and chronic disease. The "Triple Aim" approach, developed by the Institute for Healthcare Improvement (2014) and adopted by SAMHA optimizes the performance of health systems. The Triple Aim of improved health, enhanced care, and reduced cost, guide the goals and objectives of this project. This four year grant will allow the Centers to go from a basic on- site/distance Behavioral Health-Primary Care collaborative model (Level 3) to a fully integrated model (Level 6) by year four. This will be accomplished by: Adopting the Unified Primary Care and Behavioral Health Model; Coordination of Primary and Behavioral Health Care, Providing a continuum of needs driven preventive and health promotion, implement a Coordination Team to provide guidance and oversight, Implement a Treatment Team serving as the nexus between the consumer, health care providers, etc. Enhancing the current infrastructure to support the sustainability of the proposed integrated model of care. During year one of the funding cycle The Centers will establish the infrastructure to support the on-going growth of the project expecting to serve 486 unduplicated individuals (10% of the target population). ln Year 2, 1,214 individuals or 25% of the target population. Projected numbers of individuals served inYear 3 is 1,942 or 40% of the target population; and in Year 4, The Centers proposes to serve 2,428 individuals or 50% of the of the target population.