People with serious mental illness (SMI) experience higher rates of chronic care conditions (CCCs) (e.g., cardiovascular disease, diabetes, hypertension,) and experience many years of lost life compared to the general population . We define SMI as meeting criteria for one DSM-IV/SCID diagnosis (e.g., schizophrenia, bipolar disorder), other than a substance use disorder, and having serious functional limitations . Poor management of CCCs is a major source of disability, and can lead to unnecessary health care expenditures including emergency room use , and increased mortality

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