Primary Care Behavioral Health Certificate Program Curriculum |
The Certificate Program consists of three Parts: from foundational practice skills, to the care of patients with complex needs, to the adaptation of psychotherapy approaches for primary care practice. The certificate is awarded upon completion of all three Parts and is issued by UMass Chan Medical School's Center for Integrated Primary Care. Parts may be taken in any order. Parts are available individually ($800 each) or together ($1,900 — save $500). See schedule and pricing
PART 1: Fundamentals of Practice in Primary Care
Prepares mental health clinicians with the fundamental skills, clinical tools, and team-based practices they need to deliver effective care in a primary care practice. Go to Part 1 curriculum.
PART 2: Care of Patients with Complex and Chronic Concerns
Expands core competencies to prepare clinicians for the full complexity of integrated care, covering population-level strategies, challenging clinical scenarios, and evidence-based, patient-centered clinical skills. Go to Part 2 curriculum.
PART 3: Psychotherapy Approaches for Primary Care Practice
Builds the intentional, responsive practice that primary care demands, covering core intervention skills and four therapeutic approaches, each adapted for the primary care context. Go to Part 3 curriculum.
PART 1: Fundamentals of Practice in Primary Care
- Introduction to Primary Care Behavioral Health
- Principles of Primary Care Practice
- Cultural Humility for Primary Care Practice
- Sharing Responsibility for the Care of Patients
- Effective Communication with Team Members
- Privacy and Documentation of Care in Primary Care
- Engagement Skills for Primary Care Practice
- Warm Handoffs and Joint Appointments with PCPs
- Patient Evaluation in Primary Care
- Agreeing on Treatment Goals
- Emergencies and Urgent Behavioral Health Needs
- Communications: Health Literacy, Interpreters, and Telehealth
PART 2: Care of Patients with Complex and Chronic Concerns
- Screening for Mental Health Symptoms and Unhealthy Substance Use
- Dosing and Titrating Behavioral Health Interventions
- Responding to Acute and Chronic Suicidality
- When and How to Connect Patients with Community Resources and Specialty Services
- Motivational Interviewing
- Trauma-Informed Care
- Transdiagnostic Behavioral Health Interventions
- Collaborating on Psychopharmacology
- Chronic Medical Conditions
- Medically Unexplained Symptoms and Somatization Disorder
- Substance Use Disorders
- Chronic Severe Mental Illness
PART 3: Psychotherapy Approaches for Primary Care Practice
- Common Factors and Core Skills
- Measurement-Based Care
- Single Session Interventions
- Working with Families in Primary Care
- Cognitive and Behavioral Approaches
- Acceptance and Mindfulness-Based Approaches
- Problem-Solving and Solution-Focused Approaches
- Meaning- and Identity-Focused Approaches
Part 1: Fundamentals of Practice in Primary Care
Part 1 covers the philosophy, skills, and team-based practices every behavioral health clinician should learn in their first week in primary care. This includes understanding how primary care differs from specialty care, how to communicate across disciplines, and how to conduct a productive clinical encounter in 30 minutes.
12 modules · 12 CE credits · $800
Module 1 — Introduction to Primary Care Behavioral Health
By the end of this module, you will be able to:
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- Describe the Primary Care Behavioral Health model and how it differs from the Collaborative Care Model and specialty mental health care.
- Explain the evidence base for integrating behavioral health into primary care, including outcomes for patients, providers, and practices.
- Identify the core values and clinical philosophy that guide PCBH practice.
Module 2 — Principles of Primary Care Practice
By the end of this module, you will be able to:
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- Describe the five core tenets of primary care: first contact, continuity, comprehensiveness, coordination of care, and attention to the context of family and community.
- Explain how the history of primary care and the rise of integrated care shapes the current practice environment.
- Articulate why greater investment in primary care is associated with better health outcomes, lower costs, and greater equity.
Module 3 — Cultural Humility for Primary Care Practice
By the end of this module, you will be able to:
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- Apply the ADDRESSING framework to examine your own identities and assumptions across ten dimensions of diversity.
- Describe how the similarities and differences between clinician and patient shape the therapeutic relationship in a primary care context.
- Practice ongoing self-reflection as a strategy for reducing bias and overconfidence in clinical encounters.
Module 4 — Sharing Responsibility for the Care of Patients
By the end of this module, you will be able to:
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- Describe how behavioral health clinicians share responsibility for the biopsychosocial needs of patients with PCPs, nurses, and care managers.
- Apply a broad scope of practice to address patient barriers to medical care and social determinants of health.
- Identify situations in which a behavioral health clinician can effectively back up a care manager or other team member.
Module 5 — Effective Communication with Team Members
By the end of this module, you will be able to:
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- Communicate efficiently and effectively with PCPs before, during, and after patient encounters.
- Describe how high-quality provider-to-provider communication improves patient outcomes, reduces waste, and supports team satisfaction.
Module 6 — Privacy and Documentation of Care in Primary Care
By the end of this module, you will be able to:
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- Distinguish between behavioral health notes and psychotherapy notes and apply appropriate documentation practices for each.
- Apply HIPAA requirements, 42 CFR Part 2 protections, and the Open Notes mandate to documentation decisions in primary care.
- Write brief, clinically useful notes that support team communication and fit the workflow of a primary care EHR.
Module 7 — Engagement Skills for Primary Care Practice
By the end of this module, you will be able to:
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- Build rapport rapidly and communicate empathy in a time-limited primary care encounter.
- Apply engagement skills adapted for patients who have had no prior relationship with a behavioral health provider.
- Create the conditions in which patients feel safe, heard, and motivated to participate in their care.
Module 8 — Warm Handoffs and Joint Appointments with PCPs
By the end of this module, you will be able to:
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- Conduct an effective warm handoff and explain why warm handoffs achieve treatment engagement rates far above standard referrals.
- Conduct a joint appointment when patients and PCPs need to address complex problems together.
- Support the organizational systems and team culture that make warm handoffs a reliable, everyday practice.
Module 9 — Patient Evaluation in Primary Care
By the end of this module, you will be able to:
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- Conduct a meaningful, patient-centered initial encounter in 30 minutes using the Engage–Assess–Assist framework.
- Use a self-assessment tool to reflect on and strengthen the quality of initial primary care encounters over time.
Module 10 — Agreeing on Treatment Goals
By the end of this module, you will be able to:
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- Connect patient values to concrete, documented treatment goals from the first encounter.
- Align treatment goals with those of the referring PCP.
- Use goals as the organizing thread of every follow-up visit, and recognize when treatment has stalled.
Module 11 — Emergencies and Urgent Behavioral Health Needs
By the end of this module, you will be able to:
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- Recognize and respond to urgent and emergency behavioral health needs in real time in a primary care setting.
- Communicate effectively with patients in acute distress using direct, brief approaches adapted for impaired listening.
- Rapidly consult with team members, triage the response, and support a practice culture of consistent emergency preparedness.
Module 12 — Communications: Health Literacy, Interpreters, and Telehealth
By the end of this module, you will be able to:
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- Identify and address low health literacy without stigmatizing patients.
- Work effectively with professional interpreters in person and by phone, and navigate privacy challenges in small language communities.
- Apply federal requirements for language access and raise health literacy concerns sensitively with patients and team members.
Part 2: Care of Patients with Complex and Chronic Concerns
Part 2 builds on the foundation of Part 1 to develop the advanced clinical skills that primary care demands. Topics range from population-level screening and high-stakes clinical situations to evidence-based approaches for patients with chronic medical conditions, substance use disorders, and severe mental illness.
12 modules · 12 CE credits · $800