TY - JOUR T1 - A Primary Care–Public Health Partnership Addressing Homelessness, Serious Mental Illness, and Health Disparities JF - The Journal of the American Board of Family Medicine JO - J Am Board Fam Med SP - 279 LP - 287 DO - 10.3122/jabfm.2013.03.120239 VL - 26 IS - 3 AU - Lara Carson Weinstein AU - Marianna D. LaNoue AU - James D. Plumb AU - Hannah King AU - Brianna Stein AU - Sam Tsemberis Y1 - 2013/05/01 UR - http://www.jabfm.org/content/26/3/279.abstract N2 - Background: People with histories of homelessness and serious mental illness experience profound health disparities. Housing First is an evidenced-based practice that is working to end homelessness for these individuals through a combination of permanent housing and community-based supports. Methods: The Jefferson Department of Family and Community Medicine and a Housing First agency, Pathways to Housing-PA, has formed a partnership to address multiple levels of health care needs for this group. We present a preliminary program evaluation of this partnership using the framework of the patient-centered medical home and the “10 Essential Public Health Services.” Results: Preliminary program evaluation results suggest that this partnership is evolving to function as an integrated person-centered health home and an effective local public health monitoring system. Conclusion: The Pathways to Housing-PA/Jefferson Department of Family and Community Medicine partnership represents a community of solution, and multiple measures provide preliminary evidence that this model is feasible and can address the “grand challenges” of integrated community health services. ER -