This integration of primary care is made possible through the combination of an individual research fellowship that allowed for flexibility in the physician's schedule and institutional support from the academic medical center that is committed to piloting innovative approaches to care. The sustainability of integrated primary care within these teams is based on soliciting ongoing grant funding. Through the first full calendar year of the program (October 2008–December 2009), 106 clients enrolled in the program, and housing stability exceeded 90%. Epidemiological monitoring during this period revealed that 92% of clients had a chronic medical condition in addition to a serious mental illness. Thirty-two clients received integrated primary care based on consumer choice and specific team referrals. (Thirty-six clients reported having an outside primary care doctor, and 34 clients had no regular contact with a primary care physician and declined further health care evaluation.) With assertive community treatment as a platform to deliver primary care services, a majority of these clients were screened for hypertension (97%), diabetes (81%), obesity (88%), and hyperlipidemia (63%), as recommended by the National Association of State Mental Health Programs Directors. Those with positive screens are receiving ongoing treatment. During our second year of program operation, 15 more individuals began receiving integrated primary care through this focus and continued outreach.