Primary and Behavioral Health Care Integration - Primary and Behavioral Health Care Integration at Creative Health Services, Inc., Community Health and Dental Care, Inc., Total Woman Health and Wellness OB/GYN and the Pottstown Memorial Medical Center Emergency Department will serve adults with serious mental illness (SMI) and individuals with co-occurring substance use disorders who have or are at risk for co-morbid primary care conditions and chronic diseases. This collaboration will result in a health home for persons with SMI, those who are least likely to access and benefit from traditional primary care. An integrated primary and behavioral health professional treatment team will provide on-site primary care services and/or medically necessary referrals and linkages to primary care services for approximately 300 annually and 1240 through the lifetime of the project. Evidence based treatments, including screening, brief intervention and referral for treatment (SBIRT), motivational interviewing, peer support, and, for both mental and physical health treatments/supports, action-based efforts to improve overall health, wellness, and community integration will be delivered with heavy reliance on reliable and valid measurement tools, with the consumer as an active member of the care team. Evidence-based wellness and prevention activities including (but not limited to) smoking cessation, nutrition counseling, and physical activity programs will be extensively employed. Overall specific outcomes anticipated by the project include improved specific condition and general health status, increased quality of life, decreased hospitalizations and/or ER utilization for medical and/or psychiatric conditions, improved dentition, increased consumer self-management skills, increased WRAP development, and decreased substance abuse. This project will allow us to partner with individuals diagnosed with severe mental illness toward greater overall health, wellness and recovery.