Evidence map›Paper›PMID 40983548›Full record

Observational studyAnnals of family medicine2025

Functions of Interdisciplinary Primary Care Teams That Support Pregnant People With Substance Use Disorders.

Deborah J Cohen, Jennifer D Hall, Maria Danna, Andrea Baron, Camille C Cioffi, Helen Bellanca, Viviane Cahen

Abstract readObservational Study
In one paragraph

Observational study in Annals of family medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Observational
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

7 authors.

Deborah J CohenDepartment of Family Medicine, Oregon Health & Science University, Portland, Oregon cohendj@ohsu.edu.
Jennifer D HallDepartment of Family Medicine, Oregon Health & Science University, Portland, Oregon.
Maria DannaDepartment of Family Medicine, Oregon Health & Science University, Portland, Oregon.
Andrea BaronDepartment of Family Medicine, Oregon Health & Science University, Portland, Oregon.
Camille C CioffiOregon Research Institute, Springfield, Oregon.
Helen BellancaFamily Medicine, Kaiser Permanente, Clackamas, Oregon.
Viviane CahenOregon Health & Science University, Portland, Oregon.

Funding

Project Nurture Expansion StudyR01HD105348 · NICHD · OREGON HEALTH & SCIENCE UNIVERSITY · PI COHEN, DEBORAH JILL · 2021 to 2025
$3.3M
NICHD NIH HHS R01 HD105348
6 · The paper itself

Abstract

purposeAn interdisciplinary, team-based approach to delivering medical, behavioral, and supportive care can help pregnant people with substance use disorder (SUD) manage this chronic condition and care for themselves and their family. We identified the professionals, roles, and functions of these care teams.

methodsWe conducted a qualitative observational study of 7 organizations that implemented team-based SUD care for pregnant people. We observed clinical team operations and conducted semistructured interviews with leaders and care team professionals. We used an inductive and comparative approach to analyze data.

resultsThe organizations varied in ownership, type (medical, SUD treatment, behavioral health) and rural-urban location. We identified 14 care team functions and organized them into 5 categories: medical care, behavioral health care, coordination and resources, support and engagement, and quality improvement leadership. Clinicians (family physicians, certified nurse midwives), registered nurses, medical assistants, licensed clinical social workers, certified alcohol and drug counselors, peer support professionals, and doulas carried out these functions. All teams provided care coordination, outreach and engagement, referral to specialists, transitional care, community resource connection, social and emotional support, and advocacy functions. Of the 4 nonmedical organizations, only 2-a behavioral health organization and an SUD treatment organization-carried out the medical care functions; one had a family physician on the team.

conclusionsThere are 14 functions that policy makers, payers, health care organization leaders, and individuals should expect from an interdisciplinary care team that is delivering whole-person SUD care to pregnant individuals. Investment in programs that train full-scope family medicine clinicians can strengthen care for people with SUD during pregnancy.

Indexed as

Patient Care TeamPregnancy ComplicationsPrimary Health CareSubstance-Related DisordersFemaleHumansInterviews as TopicPregnancyQualitative Researchcare modeldelivery of health care, integratedhealth servicesinterdisciplinary approachmedically underserved areaorganizational cultureorganizational innovationpatient care teampractice-based researchsubstance-related disordersteam-based primary carevulnerable populations

Identifiers

PMID40983548
PMCPMC12459688

What OpenQuestion holds

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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.