This pilot study explored the feasibility of providing integrated primary and psychiatric care in a primary care setting and compared preliminary outcomes to those from a traditional care model. The study population consisted of 23 patients who received integrated medical and psychiatric care in a primary care clinic and 23 comparison patients who received medical care in a primary care clinic and psychiatric care in a separate mental health clinic. This study suggests that integrated care can be provided to chronically mentally ill patients in a primary care setting and generate outcomes comparable to those of standard care.