Experiences of Team Collaboration in Primary Care–Based Delivery of Opioid Use Disorder Treatment.

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Title: Experiences of Team Collaboration in Primary Care–Based Delivery of Opioid Use Disorder Treatment.
Authors: Austin, Elizabeth J. (AUTHOR), Bentley, Madeleine J. (AUTHOR), Ferro, Lori (AUTHOR), Saxon, Andrew J. (AUTHOR), Fortney, John C. (AUTHOR), Curran, Geoffrey M. (AUTHOR), Blanchard, Brittany E. (AUTHOR), Moghimi, Yavar (AUTHOR), Williams, Emily C. (AUTHOR), Ratzliff, Anna D. (AUTHOR), Ruiz, Monica S. (AUTHOR), Koch, Ulrich (AUTHOR)
Source: Journal of Behavioral Health Services & Research. Oct2025, Vol. 52 Issue 4, p560-572. 13p.
Subjects: Primary care, Opioid abuse, Patient participation, Medical care, Qualitative research, Cross-functional teams, Cooperation, Interprofessional collaboration
Geographic Terms: United States
Abstract: 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. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Behavioral Health Services & Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Experiences of Team Collaboration in Primary Care–Based Delivery of Opioid Use Disorder Treatment.
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  Data: <searchLink fieldCode="AR" term="%22Austin%2C+Elizabeth+J%2E%22">Austin, Elizabeth J.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bentley%2C+Madeleine+J%2E%22">Bentley, Madeleine J.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ferro%2C+Lori%22">Ferro, Lori</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Saxon%2C+Andrew+J%2E%22">Saxon, Andrew J.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fortney%2C+John+C%2E%22">Fortney, John C.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Curran%2C+Geoffrey+M%2E%22">Curran, Geoffrey M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Blanchard%2C+Brittany+E%2E%22">Blanchard, Brittany E.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Moghimi%2C+Yavar%22">Moghimi, Yavar</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Williams%2C+Emily+C%2E%22">Williams, Emily C.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ratzliff%2C+Anna+D%2E%22">Ratzliff, Anna D.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ruiz%2C+Monica+S%2E%22">Ruiz, Monica S.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Koch%2C+Ulrich%22">Koch, Ulrich</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="DE" term="%22Primary+care%22">Primary care</searchLink><br /><searchLink fieldCode="DE" term="%22Opioid+abuse%22">Opioid abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+participation%22">Patient participation</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care%22">Medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Qualitative+research%22">Qualitative research</searchLink><br /><searchLink fieldCode="DE" term="%22Cross-functional+teams%22">Cross-functional teams</searchLink><br /><searchLink fieldCode="DE" term="%22Cooperation%22">Cooperation</searchLink><br /><searchLink fieldCode="DE" term="%22Interprofessional+collaboration%22">Interprofessional collaboration</searchLink>
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  Data: 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. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Behavioral Health Services & Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1007/s11414-025-09946-2
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        Text: English
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      – SubjectFull: Primary care
        Type: general
      – SubjectFull: Opioid abuse
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      – SubjectFull: Patient participation
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              Text: Oct2025
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