Background: Team-based models of care are efficacious in improving outcomes for patients with mental and\nphysical illnesses. However, primary care clinics have been slow to adopt these models. We used iterative\nstakeholder engagement to develop an intervention to improve the implementation of team-based care for this\ncomplex population.\nMethods: We developed the initial framework for Relational Team Development (RELATED) from a qualitative study\nof Primary Care Providersâ?? (PCPsâ??) experiences treating mental illness and a literature review of practice facilitation\nand psychology clinical supervision. Subsequently, we surveyed 900 Colorado PCPs to identify factors associated\nwith PCP self-efficacy in management of mental illness and team-based care. We then conducted two focus groups\nfor feedback on RELATED. Lastly, we convened an expert panel to refine the intervention.\nResults: We developed RELATED, a two-part intervention delivered by a practice facilitator with a background in\nclinical psychology. The facilitator observes PCPs during patient visits and provides individualized coaching. Next, the\nfacilitator guides the primary care team through a practice change activity with a focus on relational team dynamics.\nConclusion: The iterative development of RELATED using stakeholder engagement offers a model for the\ndevelopment of interventions tailored to the needs of these stakeholders.
Loading....