TY - JOUR
AU - E. J. Austin
AU - M. J. Bentley
AU - L. Ferro
AU - A. J. Saxon
AU - J. C. Fortney
AU - G. M. Curran
AU - B. E. Blanchard
AU - Y. Moghimi
AU - E. C. Williams
AU - A. D. Ratzliff
AU - M. S. Ruiz
AU - U. Koch
A1 - 
AB - Team-based models of care delivery are increasingly utilized to address co-occurring mental health and/or substance use conditions. However, little is known about how team-based models function among primary care teams delivering treatment for opioid use disorder (OUD). The research team conducted qualitative interviews with a sample of multidisciplinary, primary care team members delivering OUD treatment using the collaborative care model (CoCM). Providers were recruited from 13 diverse United States (U.S.) clinics participating in a multisite hybrid effectiveness-implementation trial. Interviews were audio recorded and professionally transcribed. All transcripts were double-coded using a coding schema informed by relational coordination theory. Thirty-five team members completed an interview, including 14 primary care providers (PCPs), 13 behavioral health care managers (BHCM), and eight consulting psychiatric providers (CPP). Four themes emerged: (1) team-based work increases shared knowledge about patients; (2) team members leverage one another's relationships with patients to increase treatment engagement; (3) team collaboration is enhanced when BHCMs have opportunities and space to connect informally with PCPs; and (4) increased mutual respect between team members is needed to maximize patient engagement efforts. Team-based models may enhance patient engagement in OUD care by increasing the volume of patient contacts and augmenting therapeutic alliances.
AD - Department of Health Systems and Population Health, School of Public Health, University of Washington, 3980 15 th Ave NE, 4 th Floor, Box 351621, Seattle, WA, 98195, USA. austie@uw.edu.; Department of Clinical Research and Leadership, School of Medicine and Health Sciences, The George Washington University, Washington, D.C., USA. austie@uw.edu.; Department of Health Systems and Population Health, School of Public Health, University of Washington, 3980 15 th Ave NE, 4 th Floor, Box 351621, Seattle, WA, 98195, USA.; Department of Psychiatry and Behavioral Sciences, School of Medicine, University of Washington, Seattle, WA, USA.; Center of Excellence in Substance Addiction Treatment and Education, VA Puget Sound, Seattle, WA, USA.; Advancing Integrated Mental Health Solutions (AIMS) Center, University of Washington, Seattle, WA, USA.; Departments of Pharmacy Practice and Psychiatry, University of Arkansas for Medical Sciences, Little Rock, AR, USA.; Central Arkansas Veterans Health Care System, Little Rock, AR, USA.; Department of Psychiatry and Behavioral Sciences, School of Medicine and Health Sciences, The George Washington University, Washington, D.C., USA.; Center of Innovation for Veteran-Centered and Value-Driven Care, Health Services Research & Development, VA Puget Sound, Seattle, WA, USA.; Department of Prevention and Community Health, Milken Institute School of Public Health, the George Washington University, Washington, D.C., USA.; Department of Clinical Research and Leadership, School of Medicine and Health Sciences, The George Washington University, Washington, D.C., USA.
AN - 40240623
BT - J Behav Health Serv Res
C5 - Opioids & Substance Use
CP - 4
DA - Oct
DO - 10.1007/s11414-025-09946-2
DP - NLM
ET - 20250416
IS - 4
JF - J Behav Health Serv Res
LA - eng
N2 - Team-based models of care delivery are increasingly utilized to address co-occurring mental health and/or substance use conditions. However, little is known about how team-based models function among primary care teams delivering treatment for opioid use disorder (OUD). The research team conducted qualitative interviews with a sample of multidisciplinary, primary care team members delivering OUD treatment using the collaborative care model (CoCM). Providers were recruited from 13 diverse United States (U.S.) clinics participating in a multisite hybrid effectiveness-implementation trial. Interviews were audio recorded and professionally transcribed. All transcripts were double-coded using a coding schema informed by relational coordination theory. Thirty-five team members completed an interview, including 14 primary care providers (PCPs), 13 behavioral health care managers (BHCM), and eight consulting psychiatric providers (CPP). Four themes emerged: (1) team-based work increases shared knowledge about patients; (2) team members leverage one another's relationships with patients to increase treatment engagement; (3) team collaboration is enhanced when BHCMs have opportunities and space to connect informally with PCPs; and (4) increased mutual respect between team members is needed to maximize patient engagement efforts. Team-based models may enhance patient engagement in OUD care by increasing the volume of patient contacts and augmenting therapeutic alliances.
PY - 2025
SN - 1094-3412
SP - 560
EP - 572+
ST - Experiences of Team Collaboration in Primary Care-Based Delivery of Opioid Use Disorder Treatment
T1 - Experiences of Team Collaboration in Primary Care-Based Delivery of Opioid Use Disorder Treatment
T2 - J Behav Health Serv Res
TI - Experiences of Team Collaboration in Primary Care-Based Delivery of Opioid Use Disorder Treatment
U1 - Opioids & Substance Use
U3 - 10.1007/s11414-025-09946-2
VL - 52
VO - 1094-3412
Y1 - 2025
ER -