Thresholds' search for job sites offering daytime hours, low production demands, and a clean physical environment led to an ambitious yet mutually satisfying undertaking with Dominick's Finer Foods, a large local retail chain. With support from the Dole Foundation the Thresholds/ Dominick's project solved a business problem-Dominick's shortage of employees-while providing employment opportunities for persons with severe psychiatric disabilities. This paper describes the development of the project.

The authors conclude that primary care outreach is a promising strategy in mental health settings and that the Chronic Care Model (CCM) provides a set of guidelines for designing and monitoring quality integrated care for a partnership model of integrated care.

A special member‐staff relationship is necessary for psychiatric rehabilitation to be effective.