Community Research Foundation's Downtown IMPACT program provides comprehensive behavioral health services and supportive housing for adults 18-59 who face serious mental illness and housing instability. Based at Gateway Medical Center, this program follows the Assertive Community Treatment model, bringing psychiatric care, medication management, substance use treatment, nursing, and rehabilitation services directly to clients. The team conducts over 75% of their services in community settings, making support readily accessible to those who need it most. A standout feature of Downtown IMPACT is their commitment to placing all clients in housing within their first week of enrollment. The program accepts Medi-Cal beneficiaries and eligible individuals, Medicare recipients, and uninsured clients through funding from San Diego County Behavioral Health Services. Their inclusive approach ensures that financial constraints never prevent access to vital mental health support and housing assistance.