Primary care training and enhancement - residency training in mental and behavioral health - applicant organization name and address: university of utah, 75 S 2000 E, salt lake city, UT 84112-8930…

Primary care training and enhancement - residency training in mental and behavioral health - applicant organization name and address: university of utah, 75 S 2000 E, salt lake city, UT 84112-8930 project director and contact information: susan cochella, MD, MPH; voice 801-581-7234, FAX 801- 581-2759, email susan.cochella @HSC.utah.EDU total grant funds requested: $2,490,499 request for funding preference or priority: (1) funding priority based on training of residents in rural sites; (2) funding preference based on placement of graduates in mucs mental health is a serious issue for vulnerable and underserved populations in utah, a state characterized by a young population, a high percentage of rural areas, and a growing population of lgbtq+, new american/refugee, and racial and ethnic minority communities. Suicide is the leading cause of death in utahns ages 15-24, with a disproportionately high rate of suicide by firearms (85% in utah VS 60% in the US in 2017). Access to care is challenging in utah's rural areas, where only a few primary care providers, often family medicine physicians, practice, and major geographic features disrupt travel, further impacting access to healthcare facilities. Our project aims to improve the access to mental and behavioral health services by substantially strengthening competencies of family medicine physicians, in particular focusing on vulnerable and underserved populations. In support of this overall objective, we have three goals: 1. Increase the number of primary care physicians who are trained in the prevention, identification, diagnosis, treatment, and referral of services for mental and behavioral health conditions. We will develop and implement a culturally and linguistically longitudinal-integrated curricula for mental health training across didactics, rotations, and residency years. By the end of this project, 80 family medicine residents will be trained based on this curriculum. 2. Develop or expand partnerships with integrated behavioral health, primary care settings and community-based or ganizations to provide clinical rotations for at least one month in duration for primary care residents. Accomplishing this goal will result in an expanded range of partnerships for the family medicine, providing increased capacity for rotations to support mental and behavioral health in children, families, and vulnerable populations. 9 new partnerships will be developed, and 4 will be enhanced. 3. Develop or enhance mental and behavioral health content in didactic and clinical training for primary care residents including suicide prevention, trauma informed care including abuse and gun violence; materials must be culturally and linguistically competent. By reaching this goal, family medicine residents will have 6 months of mandatory block rotations and 3 months of elective rotations to train and practice mental and behavioral health in integrated settings. By incorporating both didactic content and supervised clinical experience in multiple settings, our proposal addresses the following hrsa strategic objectives (SELECTED): 1. Maximize community partnerships and stakeholder collaboration, including those who have historically experienced health disparities 2. Reduce behavioral health challenges by supporting availability, accessibility, and effectiveness of services