The advanced practice psychiatric nurse is in a position to facilitate the integration of primary and mental health care for a population not only underserved but undervalued. The chronically mentally ill provide a unique practice opportunity with their special needs and gifts offering many challenges and rewards. Often those with mental illness experience a health care system that leaves them confused, frustrated, and marginalized. The psychiatric nurse provides assessment of both mental and physical health and through collaboration in grand rounds and consultation sessions with primary care advanced practice nurses high quality integrated health care is provided to ensure individual needs are met. This interface between mental health and primary care is often neglected in other settings. Psychiatric advanced practice nurses in addition to providing complete assessments offer individual therapy to support members facing the challenges of every day living as well as stressful times: surgery, the death of family members, or loss of a job. Group facilitation and leadership are also part of the mental health care that is offered to members in health education groups.