To examine how integrated healthcare is practiced among the Native American population located in Southern Arizona and how advancing behavioral health integration training to the Special Diabetes Program for Indians (SDPI) and behavioral health (BH) program compares to healthcare practices after the training. Study participants from the SDPI and BH were identified based on their collective interest, desire to improve access to health care, involvement in decision-making about program development and implementation. Based on current literature and evidence-based practices on Integrated Healthcare models, study participants received the integrated healthcare training. A paired sample t-test statistical data analysis examined the levels of integrated measure and compared the training effects on programs commitment to integrated care, participants’ agreements to integrated care being superior form of care and that integrated care is the appropriate level of care for patients with health conditions. The data analyzed from the post-six weeks measure on integrated healthcare questionnaire examined the impact of the training on participants’ skills, patient engagement skills and the impact on program integration. Statistically significant responses p < .05 level, t (13) =2.48, p = .028 were achieved with participants’ perception that integrated care is the most appropriate patient care. At six-week follow-up, participants increased their confidence related to their practice skills, patient engagement skills and program integration delivery by 70%. Behavioral health integration into medical health is the new paradigm and can be successfully achieved through workforce training and improve health care outcomes through evidence-based healthcare practices and the organization’s collaboration / integration level.