Just for Us: an academic medical center-community partnership to maintain the health of a frail low-income senior population.

Purpose: To promote health and maintain independence, Just for Us provides financially sustainable, in-home, integrated care to medically fragile, low-income seniors and disabled adults living in subsidized housing.

Design And Methods: The program provides primary care, care management, and mental health services delivered in patient's homes by a multidisciplinary, multiagency team.

Results: After 2 years of operation, Just for Us is serving nearly 300 individuals in 10 buildings.

Making a home in the community for the academic medical center.

Academic medical centers (AMCs) have traditionally provided primary care for low-income and other underserved populations. However, they have had difficulty developing lasting partnerships with other organizations serving the same populations. This article describes an exception to the rule, in which an academic division was created at Duke University Medical Center to develop effective collaborations with health care and social service providers in Durham, North Carolina, including both public agencies and private organizations.