TY - JOUR KW - Community Medicine KW - Delivery of Health Care KW - Homeless Persons KW - Mental Health KW - Public Health AU - L. C. Weinstein AU - M. D. Lanoue AU - J. D. Plumb AU - H. King AU - B. Stein AU - S. Tsemberis A1 - AB - 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. BT - Journal of the American Board of Family Medicine : JABFM C5 - Healthcare Disparities; Medical Home CP - 3 CY - United States DO - 10.3122/jabfm.2013.03.120239 IS - 3 JF - Journal of the American Board of Family Medicine : JABFM 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. PP - United States PY - 2013 SN - 1557-2625; 1557-2625 SP - 279 EP - 287 EP - T1 - A primary care-public health partnership addressing homelessness, serious mental illness, and health disparities T2 - Journal of the American Board of Family Medicine : JABFM TI - A primary care-public health partnership addressing homelessness, serious mental illness, and health disparities U1 - Healthcare Disparities; Medical Home U2 - 23657696 U3 - 10.3122/jabfm.2013.03.120239 VL - 26 VO - 1557-2625; 1557-2625 Y1 - 2013 ER -