Graduate Psychology Education Programs - Louisiana suffers from high rates of behavioral health and substance use disorders (SUD), but the state is poorly equipped to meet these needs. This is especially the case with individuals of low income and from marginalized racial/ethnic groups. To illustrate, in 2022, the Drug Overdose Mortality Rate was 25.4 deaths per 100,000 population in LA, compared to 19.8 deaths per 100,000 population in the U.S.1 And the concentration of licensed psychologists was 13.2 per 100,000 population in Louisiana, compared to 32.0 per 100,000 population in the U.S. The CDC found that Louisiana was in the top 5 states with the highest number and age-adjusted rates of drug overdose rates2. Yet, resources to treat opioid use disorder (OUD), other SUD, and other high-risk and associated psychological disorders are inadequate. In Baton Rouge, Our Lady of the Lake (OLOL) Hospital is the largest provider of medical and mental health services and the largest provider of services to patients with low-income (who are disproportionate from minoritized racial/ethnic groups). Although OLOL has increased provision of medications for OUD (MOUD), psychosocial treatment for SUD (including OUD) and other high-risk behavioral health conditions is virtually non-existent at OLOL. The goals of this program include training psychology doctoral students in integrated, interdisciplinary behavioral health. The program will prepare trainees to provide behavioral health services, including trauma-informed care and SUD treatment, in community-based primary care settings in high need and high demand areas. To support trainees, the program will include continuing education of clinical psychology faculty associated with the program. Specific goals of this project include: (1) Recruit, train, and retain 3 cohorts of 3 psychology doctoral students who are committed to working with underserved populations (especially those with SUD). These trainees will serve as essential members of an interdisciplinary medical treatment team; (2) Enhance an existing didactic curriculum to improve knowledge of delivery of trauma informed behavioral health services for high-risk behavioral health problems (SUD, other high-risk behavioral health problems including suicidal thoughts and behaviors, PTSD, etc.) and of culturally sensitive delivery of such services; (3) Enhance supervised, experiential training in the treatment of SUD and other high-risk behavioral health problems by expanding psychological services at OLOL; and (4) increase the presence of psychologists in underserved, high needs behavioral health settings. Methodology: Psychology graduate students will be provided didactic and experiential training in a 12-month, 20 hour per week practicum. Measurable outcomes include short-term (assessed during award period), intermediate (assessed at pre-doctoral internship), and long-term experiences (assessed post-graduation). Through practicum training, supervised experiential training in an interdisciplinary medical setting, didactics, workshops, and guest speakers, graduate student trainees will develop training in working as members of an interdisciplinary treatment team to provide trauma-focused clinical services for SUD (including OUD) and other behavioral health concerns. We will assess progress toward goals throughout each training year. Funding Preference/Priority: OLOL, the largest mental health care provider in East Baton Rouge Parish and largest provider for residents of low income. East Baton Rouge Parish's Low-Income Population HPSA score is 18 for Mental Health (HPSA ID: 7227633610) and OLOL is located in a Mental Health Professional Shortage Area (HPSA). Over 50% of our program completers work in integrated care setting and over 50% of our prior GPE program completers work in Medically Underserved Communities.