Miriam Tepper’s work has always been devoted to improving the quality of life for adults with serious mental illness. Her first exposure to the field of psychiatry involved research on the use of psychiatric advance directives in the community treatment of adults with serious mental illness, a project that spawned her initial interest in this population and treatment setting. She pursued residency at MGH/McLean, and then began working at CHA on the clinical team which she now leads, the Health Integration Program (formerly ACS). She facilitated the clinical team’s transformation into a Behavioral Health Home model of care. This work has involved collaborations with policy makers, hospital leaders, community providers, and researchers. Concurrent with the change into a Behavioral Health Home, she has also developed a program for young adults with psychosis.