Watson, JoshuaLenz, Alan2022-10-142022-10-142022-05-19A. Stephen Lenz & Joshua C. Watson (2022): A Mixed Methods Evaluation of an Integrated Primary and Behavioral Health Training Program for Counseling Students, Counseling Outcome Research and Evaluation, DOI: 10.1080/21501378.2022.2063713https://hdl.handle.net/1969.6/94086Behavioral health provider shortages continue to grow in the United States, with the need for related services increasing as the SARS-COVID-19 pandemic persists. The implementation of integrated primary and behavioral healthcare (IPBH) practices represents one viable approach to leverage existing resources and maximize the potential for client outcomes; however, best practices for counselors within an IPBH paradigm remain unclear. We report the findings of a mixed method evaluation of an IPBH training program with 45 (36 females; 9 males; Mage = 31.65) professional counseling students who predominately identified with ethnic minority identities (55%), urban residences (66%), and disadvantaged backgrounds (44%). We detected statistically and practically significant changes in self-efficacy (p = .01, d = .55) and interprofessional valuing and socialization (p < .01, d = .76), but mixed findings for variables associated with multicultural competence. Stakeholder interviews and document analysis identified four key facilitators (Financial Support; Facilitated Engagement; Witnessing Collaboration; Holistic Representation of Clients and Client Care) and four barriers (Awareness Raising and Recruitment; Logistics and Coordination; Inconsistent Culture of IPBH; Momentum Maintenance) to program success.en-USAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/counselorsintegrated primary behavioral healthcareself-efficacyinterprofessional collaborationmulticultural competenceArticlehttps://doi.org/10.1080/21501378.2022.2063713