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The HRSA Center of Excellence for Behavioral Health Technical Assistance (COE for BHTA) supports HRSA grantees to integrate substance use and mental health services in primary care settings. This centralized training and technical assistance center provides support to a range of HRSA-funded safety net provider organizations and training/education programs, including:

The HRSA COE for BHTA focuses on various priority topics related to integrated behavioral health and primary care, including:

  • Initiating and sustaining medication-assisted treatment programs for opioid use disorders (OUD) and other substance use disorders (SUD)
  • Workforce training and knowledge enhancement
  • Building systems of care
  • Financial sustainability for providing integrated behavioral health and primary care

Some of the priority technical assistance topics by bureau include:

Bureau of Primary Health Care (BPHC) 

  • Primary care behavioral health integration models
  • Workforce development
  • Service to system coordination and financial sustainability
  • Clinical workflow and informatics
  • Social determinants of health
  • Trauma-informed care
  • Patient and provider perspectives on mental health and substance use disorder related stigma

Bureau of Health Workforce (BHW) 

  • Training professionals and paraprofessionals in prevention, treatment, and recovery services for OUD and other SUD
  • Medication-assisted treatment, harm reduction, and overdose prevention

Maternal and Child Health Bureau (MCHB)

  • Trauma-informed and trauma-responsive workforce
  • Trauma-responsive and resilience-focused services
  • Organizational environment, policies, and practices that promote trauma-informed collaboration and communication


  • Innovative strategies for working with clients with SUD and other mental health needs
  • Systems approaches across sectors to link and re-engage people with HIV who have a substance use disorder and/or mental health needs

The HRSA COE for BHTA is managed by John Snow, Inc. (JSI) and its national team of experts, including the National Council for Behavioral Health, Advocates for Human Potential, the Bizzell Group, the National Health Care for the Homeless Council, and Ten Mile Square.