“…People with serious mental illness (SMI), and those struggling with or who are in recovery from addiction, face greater difficulties securing adequate food, housing, income, social support, and health insurance (Alexander, Stoller, Haffajee, & Saloner, 2020; Becker & Fiellin, 2020; Druss, 2020; Volkow, 2020) and a 20–30 year mortality gap (Colton & Manderscheid, 2006; Olfson, Gerhard, Huang, Crystal, & Stroup, 2015; Ösby, Brandt, Correia, Ekbom, & Sparén, 2001) due to poor access to quality primary care (Aggarwal, Pandurangi, & Smith, 2013; Bradford et al, 2008; Brugha, Wing, & Smith, 1989; Druss, Bradford, Rosenheck, Radford, & Krumholz, 2000; Lord, Malone, & Mitchell, 2010; Nasrallah et al, 2006), metabolic side effects of antipsychotics (Cohn & Sernyak, 2006; Newcomer, 2007; Newcomer & Haupt, 2006), and other social and behavioral factors (Druss, 2007; Parks, Svendsen, Singer, & Foti, 2006; Viron, Zioto, Schweitzer, & Levine, 2014), which increase the risk of medical conditions such as cardiovascular disease and diabetes (Saha, Chant, & McGrath, 2007; Suetani & Whiteford, 2015). Smoking and vaping are more common among lower‐income communities and people with mental health conditions (Al‐Hamdani, Hopkins, & Park, 2020; Glover, Patwardhan, & Selket, 2020). People who are homeless already face higher risk of mortality (O'Connell, 2005), chronic medical conditions (Koh et al, 2020), mental health and substance use problems (Lebrun‐Harris et al, 2013), and poor health care access (Moore & Rosenheck, 2016).…”