The purpose of our study was to investigate the effects of training in integrated behavioral health in the primary care (IPC) setting and evidence-based practices (EBPs) on graduate level clinical mental health counseling students' knowledge and skills for working with children and youth. This study utilized a mixed method design by recruiting a sample of 12 students from a Council for Accreditation of Counseling and Related Educational Programs (CACREP) accredited urban ethnically diverse university in the northeastern region of the United States. Quantitative analysis indicated a positive and increased change in knowledge and skills associated with IPC and EBP training to work with children, adolescents, and transitional youths. Thematic analysis of the reflection journals of training yielded the following three categories: increased awareness and knowledge, increased sense of competency, and personal feelings came up after training. The implications for training counselors, counselors educators, and students are discussed.