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Table 1 Components of Relational Team Development (RELATED) and Standard Practice Facilitation

From: Mixed method evaluation of Relational Team Development (RELATED) to improve team-based care for complex patients with mental illness in primary care

  RELATED Standard Practice Facilitation
PCP Clinical Supervision and Coaching (Coaching) Practice Change Activity Team (PCAT)
Description Facilitator observes PCPs in 4+ visits with complex patients; facilitator uses clinical psychology and coaching techniques during 1-on-1 debriefs with PCPs. Facilitator guides implementation of a practice change; in this process, maladaptive team dynamics are identified and addressed. Facilitator guides implement-ation of a practice change and builds internal capacity for improvement activities.
Participants • PCPs
• Patients whose visits are observed
Clinic team (i.e., PCPs and staff representatives, leadership)
• Patient representatives
Clinic team (i.e., PCP and staff representatives, leadership)
Implementation Factors Distinguishing Features
Mental Illness Management
Knowledge
Skills
Communciation
• Diagnostic and treatment feedback
• Didactics tailored to individual knowledge gaps
• Patient communication practice
• Multicultural case discussion
• Tailored group didactics on mental illness
• Communication practice
 
Practical
Quality improvement processes
Practice monitoring systems
Improvement Plans
Modified Workflows
• Use of interdisciplinary team and available mental health resources Training:
Quality improvement methods
Measurement-Based Care (MBC)
Facilitation:
Assess current system
Create improvement plan (for MBC)
Implement improvement plan (for MBC)
Evaluate/modify improvement plan targeting sustainability
Psyschosocial
Interpersonal relationships
Clinic Culture
Attitudes
Role change
Role clarity
Interpersonal focus on:
• Emotional reactions
• Self and other awareness
• Attitudes towards team-based care
• Experience of clinic culture
Team dynamics focus on:
• Non-hierarchical communication and leadership behaviors
• Creating mutually agreed upon processes
Role clarity
• Psychological safety
• Past practice change experiences
Group process emphasizing:
Role clarity
• Communication workflows
• Team-building activites
  1. Bolded text indicated shared features