Currently, there is a mental health crisis in the United States, particularly within our youth population (CDC National Center for Health Statistics and U.S. Census Bureau. Household Pulse Survey (2020–2024). Anxiety and Depression, 2024). This crisis has worsened since the Covid pandemic which has resulted in worsening overall functioning for our youth and increased healthcare costs and utilization (CDC National Center for Health Statistics and U.S. Census Bureau. Household Pulse Survey (2020–2024). Anxiety and Depression, 2024; Kamal et al. JAMA 318(5):415, 2017; Melek S, Norris D, Paulus J, Matthews K, Weaver A, Davenport S. Potential Economic Impact of Integrated Medical-Behavioral Healthcare: Updated Projections for 2017, 2017). The increased utilization of healthcare services and emergency rooms has resulted in additional stress on the healthcare system and healthcare providers (Kamal et al. JAMA 318(5):415, 2017; Melek S, Norris D, Paulus J, Matthews K, Weaver A, Davenport S. Potential Economic Impact of Integrated Medical-Behavioral Healthcare: Updated Projections for 2017, 2017). Integrated behavioral health (IBH) services remain the gold standard for primary care services as it is a team-based approach that includes a psychologist or other mental health provider on the healthcare team and is a means to support the physician and patient (Schrager. Fam Pract Manag;28(3):3–4, 2021). IBH also allows for increased access to mental health services for those who may otherwise not have access. Despite the integration of behavioral and mental health support in primary care, there remain several barriers to access and engagement for minority groups. This chapter serves to highlight the current mental health crisis, benefits of IBH, barriers to access and engagement for minority groups, and possible solutions to increase utilization of IBH services.