 Aims: 1 Test the effectiveness of DECIDE PAPC compared to usual care in improving SDM and patient-perceived quality of behavioral health care; 2 Test whether patient-centered communication and therapeutic alliance mediate the effect of the DECIDE PAPC intervention on SDM; 3 Explore whether ethnicracial or language matching between patient and provider moderates the effect of DECIDE PAPC on SDM and quality of behavioral health care. 