Implementation and evaluation of an integrated behavioral health curriculum within a family medicine clerkship.

Abstract

Introduction: Integrating behavioral health into primary care through the Primary Care Behavioral Health model is crucial for addressing physical and mental health needs. Despite its importance, undergraduate medical education often lacks education and exposure to integrated behavioral health (IBH).

Method: This study aimed to address this gap by implementing an IBH curricular experience within a third-year family medicine clerkship and evaluating its impact on the students' knowledge and confidence in understanding IBH and managing mental health in primary care. The curriculum included a didactic lecture on IBH, a shadowing session with a behavioral health consultant and pre- and postsurveys to evaluate change in knowledge and attitudes. Data were collected from January 2023 through April 2024.

Results: Quantitative data were analyzed using the Wilcoxon signed-rank test, and qualitative responses were examined through thematic analysis. In total, 65 matched pre- and postsurveys revealed significant improvements in understanding the Primary Care Behavioral Health model (median increase from 3 to 4, p < .001) and in awareness of management strategies for conditions commonly seen within primary care, including anxiety and depression. Qualitative themes identified enhanced understanding of IBH, contributions to professional development, and constructive curricular feedback.

Discussion: These findings demonstrate that the IBH experience improved students' knowledge and awareness in managing mental health within primary care and emphasize the importance of incorporating IBH into undergraduate medical education curricula to better prepare future physicians for interprofessional, holistic care. Further efforts to standardize the curriculum and expand active learning opportunities may enhance outcomes. (PsycInfo Database Record (c) 2025 APA, all rights reserved).