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Adam J. Gordon, MD, MPH, Melissa L. Montlack, BS, Paul Freyder, LSW, MSW, CAC, CCS, Diane Johnson, BSN, RN, Thuy Bui, MD, Jennifer Williams, MSN, RN For The Aim-High Team

Adam J. Gordon is with the Mental Illness Research, Education, and Clinical Center of Co-Morbidity (VISN–4), the Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, and the Center for Research on Health Care, University of Pittsburgh, Pittsburgh, Pa. Melissa L. Montlack is with the Mental Illness Research, Education, and Clinical Center of Co-Morbidity (VISN–4), the Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh. Paul Freyder is with the Salvation Army, Pittsburgh. Diane Johnson is with the Neighborhood Living Project, Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center, Pittsburgh. Thuy Bui is with the Program for Health Care to Underserved Populations, University of Pittsburgh, Pittsburgh. Jennifer Williams is with the Primary Care Health Services, Inc–Health Care for the Homeless Program, Pittsburgh.

Correspondence: Requests for reprints should be sent to Adam J. Gordon, MD, MPH, Center for Health Equity Research and Promotion, Mailcode 151-c , University Drive C, Pittsburgh, PA 15240 (e-mail: adam.gordon{at}va.gov).

The Allegheny Initiative for Mental Health Integration for the Homeless (AIM-HIGH) was a 3-year urban initiative in Pennsylvania that sought to enhance integration and coordination of medical and behavioral services for homeless persons through system-, provider-, and client-level interventions.

On a system level, AIM-HIGH established partnerships between several key medical and behavioral health agencies. On a provider level, AIM-HIGH conducted 5 county-wide conferences regarding homeless integration, attended by 637 attendees from 72 agencies. On a client level, 5 colocated medical and behavioral health care clinics provided care to 1986 homeless patients in 4084 encounters, generating 1917 referrals for care.

For a modest investment, AIM-HIGH demonstrated that integration of medical and behavioral health services for homeless persons can occur in a large urban environment.

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