Teaching Health Center Planning and Development Program - This project will serve the residents of Genesee County, Michigan through the development of a graduate medical education program. Genesee Health System dba Genesee Community Health Center (GCHC), located in downtown Flint, seeks to establish a community-based residency program supported by Flint community organizations that have linkages with an academic department of psychiatry and Flint based Division of Public Health. During this project, a key goal is to establish a Graduate Medical Education Consortium that will become the sponsoring institution for accreditation with the Accreditation Council for Graduate Medical Education (ACGME). Genesee Health System has partnered with Hurley Medical Center, McLaren Health Care and Michigan State University Department of Psychiatry to implement this project. This arrangement will provide a robust educational experience grounded in public health with the intent to achieve ACGME accreditation by the end of the 2 year period of performance. Genesee County, home to an estimated 404,208 people, is the fifth fastest shrinking area in the country and has enormous struggles around psychosocial determinants of health. Genesee County continues to experience rates of poverty (20.1%) that are higher than the national average (11.1%). Our target population is the underserved and minoritized of Genesee County, most of which primarily reside in Flint. The City of Flint, exhibits high rates of poverty (41.2%). Residents of the city continue to struggle with the compounded environmental trauma experienced through the Flint Water Crisis in 2014, high rates of violence, and most recently the impact of the Covid-19 pandemic. GCHC will establish an accredited residency program. Currently, there are no other psychiatry residency programs in Genesee County, and our program endeavors to be the first program in the state to integrate public health principles into the foundation of residency training to produce public health-trained psychiatrists. Psychiatry residents can expect a comprehensive residency training program with lectures and seminars provided by Michigan State University Department of Psychiatry and School of Public Health.