A discussion on the advantages of having onsite behavioral health and psychiatry services when delivering primary care, with a focus on care for patients with barriers to accessing health and mental health resources. Access to healthcare for patients on Medicaid is often limited by social determinants such as transportation or affordability. Mental healthcare has all the same challenges but with the addition of social stigma as well as an even more limited availability of services. At the internal medicine residents’ continuity clinic at WakeMed, many of the patients are Medicaid beneficiaries and and are more likely to experience challenges when accessing healthcare services. Given the myriad needs of our patient population, case management has long been a part of the care provided. To continue recognizing and addressing the needs of our patients, the clinic sought to expand its collaborative care management (CoCM) team to include embedded behavioral health and psychiatry services. Since the expansion of our services, we are now better able to follow patients not only with their chronic health issues but are also better able to address and follow up on their mental health. Case management is readily available to address SDoH needs, as well as regularly follow up with patients to help facilitate scheduling and getting to appointments. Behavioral health and psychiatry are in-house, allowing for quicker turnaround on referrals and for more comprehensive handoffs. The benefits of this interdisciplinary approach to addressing mental health needs can be seen in the frequency of utilization as well as the wait time between when the referral is made to the first encounter with behavioral health/psychiatry. Moreover, resident physicians have increased their comfort level with managing behavioral health issues and reported overall positive feedback to having in-house psychiatry and behavioral health. This approach highlights the benefit and utility of the integration of mental health resources with primary care, especially when treating patients with limited resources