Community Mental Health Center for Mid-Eastern Iowa has been reaching out to the underserved and uninsured populations of Johnson County for over 40 years. The center provides psychiatric care to over 200 established patients and performs new diagnostic evaluations regularly. Because most patient are uninsured, obtaining medication requires use of patient assistance programs or other resources of free or low cost medications. Support from the staff allows for multiple ancillary interventions to be utilized by the resident for the patient’s benefit. Supervision is provided by one physician, thus maintaining a degree of continuity of care. Residents consider the rotation an outstanding learning experience in public health psychiatry.