Liberty Resources Family Health - Liberty Resources, Inc. (LRI) in Syracuse, New York (NY) seeks to integrate primary health care services and wellness activities within its community-based behavioral health henter, creating a culturally competent and person-centered health home: Liberty Resources Family Health Center. Goals are to improve the physical health of the population of focus: adults with serious mental illness (SMI) and those with co-occurring substance use disorders (COD) who have or are at risk for co-morbid primary care conditions and chronic diseases in Onondaga, Madison, and Oswego Counties in Central New York State. Emphasis will be on 1) those who have no Primary Care Provider (PCP) or who have a PCP but are unable to follow through with appointments or manage their chronic metabolic disease or health conditions including those with histories of trauma, and 2) those with severe psychotic or major mood disorders or those who are otherwise extremely disorganized /impaired as a direct result of their SMI such that symptoms get in the way of: understanding physical health needs, engaging in preventive care, negotiating public transportation, interpersonal effectiveness, and follow up activities (such as lab work) and keeping a calendar, and 3) those who would benefit from Wellness Activities to support improved health and functioning. Services will be provided to a total number of 1,207, with a minimum of: 121 clients in Year 1, 302 clients in Year 2, 483 clients in Year 3, and 604 clients in Year 4 using an array of evidence based practices, including Trauma-focused Cognitive Behavioral and Dialectical Behavioral Therapy. LRI will partner with Syracuse Community Health Center (FQHC), Upstate Family Practice, PC, Hutching Psychiatric Center, and St. Joseph's Hospital to provide integrated care for individuals accessing primary care and/or specialty services offsite and to plan for sustainability of Liberty Resources Family Health Center in the region.