The Mississippi Integrated Care Project, Promoting Integration of Primary and Behavioral Health Care (PIPBHC), will focus on adults (18+) living in Forrest and Hinds Counties with a serious mental illness (SMI) who need physical and mental health services. A large percentage of targeted counties population lives in poverty (Hinds-27.1%, Forrest-26.6%), and Hinds and Forrest Counties have a higher than average percentage of minorities (73.1% and 40.3% respectively) in comparison to the U.S. (22.9%). Research results indicate a strong correlation between poverty, minority composition, and health care access. The most common health conditions for adults with SMI include obesity, hypertension, asthma, diabetes, and heart disease. Inadequate physical activity, poor nutrition, smoking, substance use, and the long-term effects of psychotropic medication can contribute to our clients’ elevated risk of developing these serious health conditions. The PIPBHC program will bring together providers and information systems to improve client care outcomes and satisfaction with care. It will involve the implementation of person-centered treatment planning through appropriate linkages, coordination, and follow-up on needed services and supports delivered by a multidisciplinary team. The project goals are fourfold. First, a bi-directional, co-located model will be developed, utilizing FQHC primary care providers in behavioral health settings and behavioral health providers in FQHC settings, to improve access to care. It is expected that a minimum of 5% of adults with SMI will access primary care services at each CMHC, and a minimum of 150 individuals at each FQHC will access mental health care services at each FQHC. Within 4 months of notification of funding, participants will implement collaborative care EBPs to deliver integrated care. Second, the participating agencies will develop and implement a continuous quality improvement process to measure client- and system-level outcomes and improve services. At least 80% of the population will express satisfaction with PIPBHC services. Third, participating agencies will develop the capacity to collect and share electronic health data on key indicators as evidenced by implementing the needed middleware to share electronic health records, achieve interoperability, and exchange electronic health records. Fourth, the program will monitor PIPBHC service delivery, outcomes, and cost-savings. It will evaluate and monitor health and social outcomes including number of clients who see a primary care provider, mental health clinician, or substance use counselor; number of service hours engaged in health related activities; improved client outcomes in health, functioning, medication management, living situation, education, employment, social support, and substance use; and 100% timely reporting to SAMHSA and PIPBHC stakeholders. We expect to provide primary care to 5% of each of the respective counties’ client base each year (between 157-215 individuals), and to provide mental health care to between 76-100 individuals each year at the FQHCs. The total number of individuals served by the end of the project will be 2,845 people with SMI/MI.