Our proposal, Integrating Care for Health & Wellness at Places for People, will expand our current services by creating PBHCI Treatment Teams to integrate primary health care into our behavioral care services. Our purpose is to address the total health care needs of people with severe mental illness and enhance consumers' experience of care, helping them live healthier, longer lives. We further aim to increase efficiency and reduce the overall cost of health care. We will enroll 400 unduplicated persons into health and wellness services, integrating these services into our community support and ACT treatment teams to form PBHIC Treatment Teams with the addition of new health care professionals. Under this proposal, we will hire an MD Primary Health Care Consultant to consult with service teams; two LPN integrated Health Care Specialists to provide direct health interventions; and both a Peer wellness Coach and a Fitness/ Nutrition Specialist to provide individual and group counseling. We will re-assign 1.3 Nurse Care Managers from our Health Care Home to our PBHCI teams offering nursing care all service teams to focus on integrated health. PBHCI participants will be adults diagnosed with severe mental illness, many with co-occurring disorders, who receive intensive behavioral health services provided through a team approach. Places for People's clients have the most complex and challenging behavioral health needs and are unlikely to voluntarily seek health care services without significant support. We will serve 200 people Year 1; 267 Year 2; 334 Year 3 and 400 Year 4. Participants will likely be 57% male, 42.5% female, .5% transgender; 55.7% black American, 35.7% white American, 2.1% Asian, .7% non-white Hispanic, 8% refugees (multiple ethnicities/nationalities); 2.6% < 18 years, 93% between 18-64 years, 3% over 65 or older. 5% will be veteran.