TY - JOUR AU - K. West AU - B. Ceesay AU - O. Razetto AU - S. M. Cho AU - C. Newport AU - A. Hunter AU - K. Mittal AU - K. Lee AU - S. Otero AU - D. Johnson AU - D. Miller AU - D. Yohanna A1 - AB - The integration of behavioral health and serious mental illness assessment and treatment into primary care remains a challenge. While the increase in telehealth usage due to the COVID-19 pandemic helped reduce a key barrier to access, other challenges remain including a shortage of trained providers and an increased demand for services. A collaboration between ECHO-Chicago and Americares established a unique virtual medical education program that provided training and telementoring using the Project ECHO model with the integration of clinic-wide quality improvement (QI) projects. In this paper, we outline the process of adapting the existing Project ECHO(®) (Extension for Community Health Outcomes) series on behavioral health integration and serious mental illness to fit the needs of Free and Charitable Clinics (FCCs). This project highlights the process and organizational-wide outcomes of creating a partnership between an ECHO hub and a national cross-section of FCCs to create a telehealth program to improve mental healthcare delivery within the FCC space that can be replicated and scaled more broadly. Through this process, we highlight evaluation methods to examine the impact of ECHO series beyond the individual to the clinic-wide level. AD - ECHO-Chicago, 5841 S Maryland Ave # 3077, Chicago, IL, 60637, USA.; Department of Pediatrics, University of Chicago, Chicago, IL, USA.; Americares, Stamford, CT, USA.; CommunityHealth, Chicago, IL, USA.; ECHO-Chicago, 5841 S Maryland Ave # 3077, Chicago, IL, 60637, USA. Doriane.Miller@bsd.uchicago.edu.; Department of Medicine, University of Chicago, 5841 S Maryland Ave # 3077, Chicago, IL, 60637, USA. Doriane.Miller@bsd.uchicago.edu.; ECHO-Chicago, 5841 S Maryland Ave # 3077, Chicago, IL, 60637, USA. dyohanna@bsd.uchicago.edu.; Department of Psychiatry, University of Chicago, 5841 S Maryland Ave # 3077, Chicago, IL, 60637, USA. dyohanna@bsd.uchicago.edu. AN - 40167856 BT - Community Ment Health J C5 - Education & Workforce; HIT & Telehealth DA - Apr 1 DO - 10.1007/s10597-025-01461-0 DP - NLM ET - 20250401 JF - Community Ment Health J LA - eng N2 - The integration of behavioral health and serious mental illness assessment and treatment into primary care remains a challenge. While the increase in telehealth usage due to the COVID-19 pandemic helped reduce a key barrier to access, other challenges remain including a shortage of trained providers and an increased demand for services. A collaboration between ECHO-Chicago and Americares established a unique virtual medical education program that provided training and telementoring using the Project ECHO model with the integration of clinic-wide quality improvement (QI) projects. In this paper, we outline the process of adapting the existing Project ECHO(®) (Extension for Community Health Outcomes) series on behavioral health integration and serious mental illness to fit the needs of Free and Charitable Clinics (FCCs). This project highlights the process and organizational-wide outcomes of creating a partnership between an ECHO hub and a national cross-section of FCCs to create a telehealth program to improve mental healthcare delivery within the FCC space that can be replicated and scaled more broadly. Through this process, we highlight evaluation methods to examine the impact of ECHO series beyond the individual to the clinic-wide level. PY - 2025 SN - 0010-3853 ST - Promoting a Clinic-Based Approach to Behavioral Health Integration and Serious Mental Illness in Free and Charitable Clinics Through Project ECHO T1 - Promoting a Clinic-Based Approach to Behavioral Health Integration and Serious Mental Illness in Free and Charitable Clinics Through Project ECHO T2 - Community Ment Health J TI - Promoting a Clinic-Based Approach to Behavioral Health Integration and Serious Mental Illness in Free and Charitable Clinics Through Project ECHO U1 - Education & Workforce; HIT & Telehealth U3 - 10.1007/s10597-025-01461-0 VO - 0010-3853 Y1 - 2025 ER -