Volunteers of America, Utah (VOA Utah) is a human services nonprofit organization located in Salt Lake City whose mission is to reach and uplift those in greatest need. VOA Utah provides outpatient mental health and substance abuse treatment, homeless services and transitional housing, counseling for survivors and perpetrators of domestic violence, primary care, child care, and other recovery supports. With this project Volunteers of America aims to improve the physical health status and overall wellness of adults with serious mental illness (SMI) living in Salt Lake County, Utah. This will be accomplished through a partnership with the Utah Department of Health's Health Clinics of Utah. Health Clinics of Utah currently has a primary care clinic onsite of VOA Utah's Cornerstone Counseling Center (the community mental health center). Basic primary care services are delivered to Cornerstone's clients one day per week. With PBHCI funding, the partners will expand the size, scope and impacts of this medical clinic, progressively increasing the level of integration of behavioral health and primary care services from a current Level 3 to a Level 6 within four years. Via a health home setting, program partners will provide holistic, evidence-based, culturally appropriate, integrated primary health care, mental health and/or substance abuse treatment, care coordination, integrated treatment planning, peer navigation support, prevention and health promotion activities and education, wraparound services, and comprehensive transitional care from inpatient to other settings, including appropriate follow-up, to ensure uninsured and underinsured adults with SMI gain access to care and enhanced opportunity for maximum health. VOA Utah will provide services to 100-150 adults with SMI annually (500 over the four-year grant period.