Evidence map›Paper›PMID 40105122›Full record

Trial reportFamily practice2025

Provider experiences delivering collaborative care for co-occurring opioid and mental health disorders: a qualitative study.

Jasen Christensen, Grace Hindmarch, Lizeth Cueto, Maya Rabinowitz, Valerie Carrejo, Scott Jeansonne, John Bettler, Seth Williams, Miriam Komaromy, Katherine Watkins and 1 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Family practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Jasen ChristensenDepartment of Psychiatry and Behavioral Sciences, University of New Mexico School of Medicine, MSC08 4720 1 UNM Albuquerque, NM 87131-0001, United States.ORCID 0009-0009-5934-5162
Grace HindmarchRAND Corporation, 1776 Main Street, Santa Monica, CA 90401, United States.
Lizeth CuetoDepartment of Psychiatry and Behavioral Sciences, University of New Mexico School of Medicine, MSC08 4720 1 UNM Albuquerque, NM 87131-0001, United States.
Maya RabinowitzRAND Corporation, 1776 Main Street, Santa Monica, CA 90401, United States.
Valerie CarrejoDepartment of Psychiatry and Behavioral Sciences, University of New Mexico School of Medicine, MSC08 4720 1 UNM Albuquerque, NM 87131-0001, United States.
Scott JeansonneFirst Choice Community Healthcare, 120 South 9th Street, Belen, NM 87001, United States.
John BettlerDepartment of Psychiatry and Behavioral Sciences, University of New Mexico School of Medicine, MSC08 4720 1 UNM Albuquerque, NM 87131-0001, United States.
Seth WilliamsDepartment of Family Medicine, University of New Mexico Hospital, 2211 Lomas Boulevard NE, Albuquerque, NM 87106, United States.
Miriam KomaromyGrayken Center for Addiction, Boston University, Boston Medical Center, Boston, United States.
Katherine WatkinsRAND Corporation, 1776 Main Street, Santa Monica, CA 90401, United States.
Karen Chan OsillaDepartment of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, 1070 Arastradero Road, Palo Alto, CA 94304, United States.

Funding

Improving Access and Treatment for Co-occurring Opioid Use Disorders and Mental Illness - Recruitment ExtensionUF1MH121954 · NIMH · RAND CORPORATION · PI KOMAROMY, MIRIAM, WATKINS, KATHERINE E · 2019 to 2024
$15.8M
NIMH NIH HHS UF1 MH121954US National Institute of Mental Health 3UF1MH121954-01
6 · The paper itself

Abstract

backgroundOpioids are the primary contributor to overdose death in the USA and represent a major public health crisis despite the availability of highly effective evidence-based treatments. A co-occurring mental health disorder further complicates efforts to utilize effective treatments and leads to poorer outcomes. Collaborative care has shown promise in improving care for those with substance use disorders and those with mental health disorders. This study explores the experiences of providers participating in a randomized controlled trial of collaborative care for both opioid use disorder (OUD) and co-occurring depression and/or posttraumatic stress disorder (COD).

methodsSemi-structured interviews were conducted with healthcare providers of collaborative care as part of a randomized controlled trial at two health systems. Interviewed participants included primary care providers, care coordinators, behavioral health providers, clinic administrators, and psychiatric consultants. Data was analyzed with content analysis to identify common themes and subthemes among experiences.

findingsParticipants perceived differences between patients diagnosed with only OUD and those with COD, such as heightened stigma, greater symptom severity, and more barriers to treatment. They perceived the positive impacts of the collaborative care intervention for patients with COD and the clinics and providers caring for this population, and identified considerations for future implementation efforts.

conclusionsAlthough participants noted challenges in treating patients with COD compared to those with only OUD, they also perceived the benefits of using collaborative care in this complex population. Participants supported using collaborative care in the future, but noted important systems and policy suggestions needed for successful implementation.

Indexed as

Mental DisordersOpioid-Related DisordersStress Disorders, Post-TraumaticAdultAttitude of Health PersonnelCooperative BehaviorFemaleHumansInterviews as TopicMaleMiddle AgedPrimary Health CareQualitative Researchcollaborative careco-occurring disordersdepressionopioid use disorderposttraumatic stress disorder

Identifiers

PMID40105122
PMCPMC13031086

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.