Graduate Psychology Education Programs - Chatham University's Counseling Psychology PsyD program proposes a recruitment, retention, and training project which aims to increase the number of well-trained, culturally competent health service psychology students prepared to address the needs of people in medically underserved communities and/or high need high demand areas and committed to working in medically underserved communities and/or high need high demand areas after graduation after graduation. The project particularly focuses on training health service psychology students to meet the needs of individuals with substance abuse or opioid abused disorders and/or experiencing trauma in these communities. A total of 21 PsyD Counseling Psychology trainees will complete the project. We will partner with five experiential training sites serving individuals in medically underserved communities and/or high need high demand areas and providing team-based, integrated, interdisciplinary behavioral health care where behavioral health care is integrated into community-based primary care. Our training sites include three federally qualified health centers, a non-profit Ryan White CARE Act community clinic, and university counseling center integrated into the student health services. Sites were specifically selected because they serve populations and communities where prevention, treatment, and recovery services for substance abuse disorder, opioid disorder, and/or trauma are crucial and thus the sites can offer significant training time devoted to prevention, treatment, and recovery services. Stipend recipients will be selected because they express interest in completing integrated, interdisciplinary behavioral health training and/or working with people in medically underserved communities or high need high demand areas and hold identities that are underrepresented in psychology. Trainees will enter an intensive interdisciplinary training project including 1) experiential learning in team-based approaches used in behavioral health in community-based primary care at the selected sites, 2) in-depth training on a comprehensive, stigma-reducing evidence-based cognitive-behavioral health approach effective for substance use disorder, trauma, and the combination, including training on stigma, trauma-informed care, substance use disorder, opioid use disorder, prevention, treatment, and recovery services, social determinants of health, cultural and linguistic standards, and behavioral health disorders in children, adolescents, and young adults, and 3) participating in interdisciplinary training activities with social workers, psychiatrists, and other professional trainees. An interdisciplinary team standardized patient simulation experience will allow trainees to practice interdisciplinary communication, team-based care, and cultural and linguistic competency. Faculty and both current and potential new supervisors will also receive in-depth training in opioid use and substance use disorders, trauma-informed care, tele-behavioral health, social determinants of health, and cultural and linguistic standards through co-curricular continuing education events. Trainees, faculty, and staff will use online modules to learn about workforce wellbeing and resources to reduce burnout as well as leadership and supervision to support current supervisors increase the number of supervisors. Ongoing assessments for quality improvement will include data collected at regular intervals from student, faculty, and site supervisor perspectives. This data will be monitored regularly to adjust as needed to assure program success. A primary outcome is job placement rate, particularly jobs serving individuals in underserved communities or high need high demand areas. Chatham is requesting funding priority and preference. 68.42% of our graduates are employed in MUC. All 5 sites include psychology, social work, and psychiatry. One site qualifies as rural for the additional 5 points.