 The Center for Multicultural Mental Health Research CMMHR at Cambridge Health Alliance has recently been selected for funding by the Patient Centered Outcomes Research Institute PCORI to address the importance of patient-provider communication, shared decision making, and therapeutic alliance. Our research team demonstrated that a psycho-educational intervention DECIDE-PA improves patient activation and self-management in behavioral health care. However, the investigators found that providers were unresponsive or reacted negatively to patients activation. In response, the investigators propose to combine DECIDE-PA with provider coaching DECIDE-PC to increase providers receptivity to patient activation, and improve Shared Decision Making SDM. The investigators also focus on quality of care, responding to clinic administrators who require interventions that improve quality of behavioral health care mental health and substance treatments. 