There is an increasing need for Primary Care Behavioral Health (PCBH) workforce development (i.e., increase in well-trained PCBH providers) given the growth of behavioral health (BH) integration into primary care, specifically at a time when behavioral health needs are increasing because of the COVID-19 pandemic (Kanzler and Ogbeide in Psychol Trauma 12(S1):S177–S179, https://doi.org/10.1037/tra0000761, 2020). Therefore, it is imperative to provide current and future behavioral health clinical supervisors in primary care settings specific competencies, given there are no current competencies specific to clinical supervision within the PCBH Model. Using a Delphi process, the authors identified and reached expert consensus on competencies for BH clinical supervisors in primary care. A purposive sample (in: Patton, Qualitative evaluation and research methods, Sage, Newbury Park, 1990) of fifteen experts (n = 15) in PCBH clinical training and education evaluated quantitative and qualitative domains and specific competencies associated with PCBH supervision gathered during an initial in-depth qualitative interview. This was followed by two subsequent rounds of quantitative Delphi surveys to reach consensus. The response rates from our panel of experts were 100% (15/15) for all stages (interviews, round one and round two surveys). Three domains (Primary Care Knowledge, Clinical Supervisor Development, and Clinical Supervision Skills) were rated as essential for providing clinical supervision with PCBH for pre-licensure level learners. The development of competencies will further support BH clinical supervisor needs, professional development, and provide a concrete way to evaluate progress towards teaching and training excellence. This will also have a great impact on the development of the future BH workforce within primary care.

鉴于行为健康 (BH) 越来越多地融入初级保健，特别是在行为健康需求不断增加的情况下，对初级保健行为健康 (PCBH) 劳动力发展的需求不断增加（即增加训练有素的 PCBH 提供者）由于 COVID-19 大流行（Kanzler 和 Ogbeide，《心理创伤》12(S1):S177–S179，https://doi.org/10.1037/tra0000761，2020）。因此，鉴于 PCBH 模型中当前没有特定于临床监督的能力，因此必须为初级保健机构中当前和未来的行为健康临床监督员提供特定的能力。作者利用德尔菲法确定了 BH 初级保健临床督导员的能力并达成了专家共识。由 15 名 PCBH 临床培训和教育专家 ( n = 15) 组成的有目的样本（见：Patton，定性评估和研究方法，Sage，纽伯里公园，1990 年）评估了在一次调查期间收集的与 PCBH 监督相关的定量和定性领域以及特定能力。最初的深入定性访谈。随后进行了两轮德尔菲定量调查以达成共识。我们的专家小组在所有阶段（访谈、第一轮和第二轮调查）的回复率为 100% (15/15)。三个领域（初级保健知识、临床督导员发展和临床督导技能）被评为对于为预许可水平学习者提供 PCBH 临床督导至关重要。能力的发展将进一步支持 BH 临床督导员的需求和专业发展，并提供评估卓越教学和培训进展的具体方法。 这也将对初级保健领域未来 BH 劳动力的发展产生重大影响。