Table 1 JUSTICE Study inclusion and exclusion criteria

Recently released from CT DOC (within three months)

Severe Mental Illness

At least one modifiable cardiovascular disease risk factor (diabetes, hyperlipidemia, hypertension, obesity) or cardiovascular disease

Terminal illness (anticipated death in < 1 year)

Returning to or residing in a study community (New Haven, Bridgeport, or Hartford, CT)

Intention to move out of study area in < 1 year