Behavioral Health in Primary Care

ECHO Clinics

Second Friday of each month • 8–8:50 a.m.

If you would like to submit a case for discussion at clinic please complete the form below, and fax to (775) 327-5112 by noon on the day prior to the clinic. This form is a fillable PDF, but you may print and fill it in by hand as well.

Behavioral Health in Primary Care Case Presentation Template

The overarching goal of the Behavioral Health in Primary Care ECHO is to enhance the skills of primary care providers in assessing the behavioral health needs of patients. We do this by improving their skills in non-pharmacologic primary care interventions and assisting in the creation of a local or regional referral network. In this clinic, you will have access to a psychiatrist, a psychologist, and an internist.

This clinic team consists of:

  • David L. Carlson, M.D., M.Div., FAPA, ABPN. Dr. Carlson has worked in academic medicine since 1995 serving as Psychiatry Clerkship Director, and Director of Undergraduate Medical Education in the Neurosciences and Residency Program Director in North Dakota. Dr. Carlson has also served as Chief of Service for Mental Health and Chief of Psychiatry for the VA System in North Dakota and Northern Minnesota and has been Chief Medical Officer and CEO for Prairie Psychiatric Center in Fargo, ND.
  • Darryll Patterson, M.D. Dr. Patterson completed Emory's Internal Medicine residency program and was a faculty member at Michigan State University's Medical School for more than a decade. He has been highly involved in medical student education, serving as the course director for the MSU Biostatistics and Epidemiology Course (2005-2011), the Genitourinary Systems Course Director (2006-2013), and as the Director of Medical Education for McLaren Greater Lansing Hospital (2010-2014).
  • Steven Graybar, Ph.D. In his practice Dr. Graybar works with individuals, couples, and families in psychotherapy and consults with institutions, organizations, and businesses. At the School of Medicine and in the Department of Psychiatry he coordinates psychotherapy training for psychiatry residents through seminars and individual and group supervision. He also works with the Office of Statewide Initiatives and Project ECHO providing clinical consultations and professional development to both senior and early career clinicians throughout the state via weekly teleconferences.

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Download Zoom and join the clinic directly or use Meeting ID code 684 551 843.

The University of Nevada, Reno School of Medicine designates this Live Activity for a maximum of 1.00 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The University of Nevada, Reno School of Medicine is a provider of continuing education credit through the Nevada State Board of Pharmacy. This program is approved for 1.00 hours of continuing education credit for pharmacists.

The University of Nevada, Reno School of Medicine approves this program for 1.00 hours of nursing continuing education credit.

Previous Behavioral Health in Primary Care

October 2018

September 2018

    • Topic: Reno Behavioral Healthcare Hospital

August 2018

  • • No Clinic

July 2018

    • Topic: Case Consultations - submit your's today!

June 2018

    • Topic: Case Consultations

May 2018

  • Guest speaker: Linda Garrett, Risk Management Consultant

April 2018

  • Prsenter: Brian McKinney, MD
    • Topic: Legal 2000s

March 2018

    • Topic: Case Consultations - Submit Your's Today!

February 2018

January 2018

    • Topic: Tough Customers in Primary Care

December 2017

November 2017

  • • No Clinic
    Topic: No Clinic Due to Holiday

October 2017

  • Guest speaker: Brian McKinney, MD
    Topic: Capacity Evaluations

September 2017

August 2017

July 2017

June 2017

May 2017

  • Topic: Management of Agitation and Paranoia in Dementia

April 2017

March 2017

  • Guest presenter: Alec Chang - DO
    Topic: Benzodiazepines – the good, the bad, and the alternatives

February 2017

  • Topic: Making a Mental Health Referral

January 2017

  • Guest presenter: Nancy Yan - DO
    Topic: Crisis Intervention & Suicidal Patients

December 2016

  • Dr. John Tan will present on the highly requested topic of L2K holds
    Topic: Legal 2000

November 2016

  • • No Clinic
    Topic: No Clinic Due to Holiday

October 2016

  • Topic: Case Consultations

September 2016

  • Topic: Case Consultations

August 2016

July 2016

  • Topic: Case Consultations

June 2016

  • Topic: Case Consultations

May 2016

  • Topic: Case Consultations and Depression Discussion

April 2016

  • Topic: Case Consultations

March 2016

  • Topic: Behavioral Health Case Consultations

February 2016

  • Topic: Case Consultations

    We're looking for those 2-3 cases, so please get them in as soon as you can! Fax them to (775) 327-5112.

December 2015

  • Topic: Case Consults

November 2015

October 2015

  • Topic: Complex Behavioral Health Patients (continued)

    Behavioral Health in Primary Care Case Presentation Form

    We are reaching out to ECHO Nevada participants for case presentations they would be willing to present during clinic on October 9th. Remember: You can be a primary care provider looking for recommendations on behavioral health medication management, Legal 2000 holds and evaluations, and behavioral health care suggestions for your patients. If you are a behavioral health care provider looking for standard medical care consultation, we have an Internal Medicine Physician and a Gastroenterologist on our team that are always happy to help!

    For more information on this clinic or any of our other Project ECHO Nevada clinics, please contact Chris Marchand at (775) 682-8476 or

September 2015

  • Topic: Introductions, Expectations, and Case Presentations

    Download the Case Presentation Form

    This will be the launch of the long-awaited Behavioral Health in Primary Care ECHO clinic. The overarching goal of this clinic will be to establish an open line of communication between primary care providers and behavioral health providers so they may work in concert when dealing with patients with complex polyhealth issues. The BHPC ECHO clinic will serve as a forum for primary care and behavioral health providers to assist each other when the needs of their patient extends past their own medical training.

    The ECHO Nevada faculty for the BHPC clinic will include David Carlson, M.D. (Psychiatrist), Darryll Patterson, M.D. (Internal Medicine), Evan Klass, M.D. (Endocrinologist and Project ECHO Nevada Director), and Steve Graybar, Ph.D. (Clinical Psychologist). We have assembled some of the best personnel and resources available in Nevada for this clinic and we are excited to begin tacking the challenge of integrated health care in Nevada. Please join us this Friday at 8am to come see for yourself!

    If you have any questions about this clinic or Project ECHO Nevada, please contact Chris Marchand, MPH at (775) 682-8476 or