Team-based models of care are efficacious in improving outcomes for patients with mental and physical illnesses. However, primary care clinics have been slow to adopt these models. We used iterative stakeholder engagement to develop an intervention to improve the implementation of team-based care for this complex population. We developed the initial framework for Relational Team Development (RELATED) from a qualitative study of Primary Care Providers’ (PCPs’) experiences treating mental illness and a literature review of practice facilitation and psychology clinical supervision. Subsequently, we surveyed 900 Colorado PCPs to identify factors associated with PCP self-efficacy in management of mental illness and team-based care. We then conducted two focus groups for feedback on RELATED. Lastly, we convened an expert panel to refine the intervention. We developed RELATED, a two-part intervention delivered by a practice facilitator with a background in clinical psychology. The facilitator observes PCPs during patient visits and provides individualized coaching. Next, the facilitator guides the primary care team through a practice change activity with a focus on relational team dynamics. The iterative development of RELATED using stakeholder engagement offers a model for the development of interventions tailored to the needs of these stakeholders. Not applicable.

中文翻译：

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设计关系团队发展干预措施，以利用利益相关者的反复参与来改善初级保健中的心理健康管理

基于团队的护理模型可有效改善患有精神和身体疾病的患者的预后。但是，初级保健诊所采用这些模型的速度很慢。我们利用利益相关者的反复参与来制定干预措施，以改善针对这一复杂人群的基于团队的护理实施。我们通过对基层医疗服务提供者（PCPs）治疗精神疾病的经验进行的定性研究以及对实践促进和心理学临床监督的文献综述，为关系团队发展建立了初始框架（相关）。随后，我们对900例科罗拉多州的PCP进行了调查，以确定与PCP自我管理有关的精神疾病和基于团队的护理的相关因素。然后，我们进行了两个焦点小组的工作，以征询有关的信息。最后，我们召集了一个专家小组来完善干预措施。我们开发了RELATED，这是由具有临床心理学背景的实践促进者提供的分为两部分的干预措施。主持人在患者就诊期间观察PCP，并提供个性化的指导。接下来，协调人通过实践变更活动指导基层医疗团队，重点是关系团队的动态。使用利益相关者参与进行相关的迭代开发，可以为开发针对这些利益相关者需求的干预措施提供模型。不适用。主持人通过实践变更活动来指导基层医疗团队，重点是关系团队的动态。使用利益相关者参与进行相关的迭代开发，可以为开发针对这些利益相关者需求的干预措施提供模型。不适用。主持人通过实践变更活动来指导基层医疗团队，重点是关系团队的动态。使用利益相关者参与进行相关的迭代开发，可以为开发针对这些利益相关者需求的干预措施提供模型。不适用。