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Many PCPs don’t feel comfortable screening for, diagnosing, or treating behavioral health conditions because they feel they lack the adequate training or experience. And yet, not all patients can wait for a specialist appointment, so PCPs need expanded training in behavioral health care.
The organization
Inland Empire Health Plan (IEHP) is a large Medicaid plan based in Rancho Cucamonga in southern California. They serve 1.3 million members in Riverside and San Bernardino counties, offering access to over 6,000 providers.
The approach
IEHP funds scholarships for a year-long course from University of California, Irvine (UCI) designed to teach PCPs and other providers tools for recognizing, diagnosing, and treating a variety of behavioral health conditions. The program not only trains PCPs on the basics of psychiatry, but also encourages them to share their knowledge with peers.
The result
The scholarships have created many positive results, according to surveys fellows take before, during, and after the fellowship. Before the fellowship, 70% of respondents expressed strong dissatisfaction with their overall knowledge base in psychiatry. After the fellowship, that figure dropped to only 2%.
IEHP’s PCP partners expressed that they often didn’t feel comfortable diagnosing and treating behavioral health conditions and preferred to leave it to specialists. IEHP wanted to provide support to their PCPs. Instead of creating their own training materials, IEHP relied on experts at the University of California, Irvine, who had already created a program to teach PCPs and other providers tools for recognizing, diagnosing, and treating a variety of behavioral health conditions.
IEHP wisely recognized that they shouldn’t recreate the wheel, especially when the lessons resonate more when they come from a trusted, clinical third party rather than from the health plan. Instead, IEHP created scholarships for select PCPs in the plan's network to participate in the UCI's Train New Trainers Fellowship program.
IEHP's scholarships for PCP's in the TNT PCP Fellowship was successful for two main reasons: first, they chose PCPs selectively so that IEHP wasn’t blindly investing in everyone. Second, they clearly explained to PCPs how they would benefit from being selected for this fellowship. Read on for more details on both elements.
How IEHP selects fellowship winners
IEHP focuses on the following three traits when choosing fellowship winners to ensure the greatest possible ROI.
![]() | Highly motivated providers who self-select for training Unlike many other provider education programs, IEHP doesn’t recruit heavily for their scholarships. In fact, IEHP requires providers to apply through a rigorous recruitment process to ensure that only the most eager providers will enter the program. In addition, IEHP prioritizes providers from organizations that have historically shown interest and involvement in integrated behavioral health initiatives with IEHP or otherwise. |
![]() | Providers in complex-care teams to bolster care coordination One group the health plan does target are members of complex care management teams, such as physicians, PAs, and NPs who care for patients with comorbidities. This recruitment push follows a plan-wide effort toward increasing care coordination and integration. |
![]() | Providers willing to commit to remain in-network for one year IEHP requires fellows to remain in-network for one year following completion of the fellowship. These providers, who gain respected psychiatric knowledge in a small time frame, are too valuable to let slip out of network. |
What providers gain from the fellowship
IEHP clearly communicates the three main ways providers will benefit from this fellowship to recruit appropriate providers into the program.
![]() | Tuition assistance and credits The fellowship’s tuition is $15,500, placing it out of budget for many providers. This price tag, combined with the year-long, time-intensive nature of the fellowship would normally discourage enrollment. However, IEHP funds the entire tuition bill. In exchange for giving up their valuable time, PCPs can gain up to 45 continuing medical education (CME) hours for their work. Though the amount of annual CME required for a medical professional varies by state, 45 CME hours is generally worth two years of mandatory medical education. After leaving the fellowship, participants enter an alumni network for continued mentorship and free CME. |
![]() | Hands-on learning and mentorship Trainees use their time in the fellowship to master completing an efficient and evidence-based psychiatric interview in a busy primary care setting. Moreover, the program trains fellows to diagnose and treat common behavioral health conditions such as mood, anxiety, and substance use disorders. The fellowship relies on teaching sessions, case-based discussions, and small group mentoring sessions. In addition to learning this valuable knowledge themselves, fellows are trained to share their lessons with colleagues to further increase mental health care access and quality. |
![]() | Core ideas of psychopharmacology Around the country, primary care providers, not psychiatrists, prescribe most psychotropic medication, even though many PCPs feel they lack adequate training. The fellowship teaches the fundamentals of psychopharmacology, including dosage and types of medications to prescribe, to help PCPs feel more comfortable with prescribing medications for behavioral health concerns. |
IEHP has evaluated the results of the scholarships through surveys each PCP takes before, during, and after the completion of the Train New Trainers fellowship. These surveys measure the providers’ comfort with identifying and treating behavioral health conditions.
Before the fellowship, 70% of respondents expressed strong dissatisfaction with their overall knowledge base in psychiatry. After the fellowship, that figure dropped to only 2%.
Additionally, the fellowship boasts a 50% increase in self-reported behavioral health knowledge and a 55% increase in perceived ability to treat behavioral health conditions.
Ninety percent of fellows reported they were “very likely” or “almost certain” to recommend the fellowship to a colleague.

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