Participant flow through study. *Operational definitions for High Needs vs. Moderate Needs. High Needs participants must have: 1) A score <62 on the Multnomah Community Ability Scale (MCAS); AND 2) A Mini International Neuropsychiatric Interview (MINI) diagnosis of current psychotic or bipolar disorder OR observations of psychotic disorder by referral source; AND 3) One of: a) Two or more hospitalizations for mental illness in any one year in last five years OR b) Co-morbid substance use OR c) Recent arrest or incarceration (or don't know or declined to answer). All other eligible participants were considered Moderate Needs. #Participants with Moderate Needs who self-identified membership in an Ethno-Racial group were given a choice to participate in a regular ICM program or an Ethno-racial focused ICM program, as long as space was available in both groups.