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Published Online: 22 August 2019

Engagement With Project ECHO to Increase Medication-Assisted Treatment in Rural Primary Care

Julie Salvador, Ph.D., Snehal Bhatt, M.D., Rebecca Fowler, M.S., M.P.H., Jerrilyn Ritz, M.P.H., Regina James, Vanessa Jacobsohn, M.D., Heidi Rishel Brakey, M.A., and Andrew L. Sussman, Ph.D., M.C.R.P. [email protected]Authors Info & Affiliations
Publication: Psychiatric Services
Volume 70, Number 12
https://doi.org/10.1176/appi.ps.201900142
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Abstract

Objective:

The purpose of this study was to understand the barriers and facilitators that affect engagement with Project ECHO (Extension for Community Healthcare Outcomes) to implement medication-assisted treatment (MAT) in primary care settings.

Methods:

A 12-session weekly curriculum was delivered to participating primary care providers and clinic staff (N=24 participants from 13 clinics). Participants completed attendance logs and a qualitative interview in order to identify factors that influence engagement in the ECHO sessions and the potential integration of MAT.

Results:

Primary care providers and staff valued the ECHO sessions, but overall attendance was low and variable. Participants generally valued the didactic and interactive nature of the sessions but identified system-level constraints that limited engagement. Major barriers to participation included competing demands in patient care and the low degree of endorsement by clinic leadership.

Conclusions:

This brief report identifies key systematic challenges that may directly limit primary care providers’ engagement in telementoring models such as Project ECHO.

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Information & Authors

Information

Published In

Go to Psychiatric Services
Go to Psychiatric Services
Psychiatric Services
Volume 70 • Number 12 • December 01, 2019
Pages: 1157 - 1160
PubMed: 31434561

History

Received: 15 March 2019
Revision received: 31 May 2019
Accepted: 11 July 2019
Published online: 22 August 2019
Published in print: December 01, 2019

Keywords

  1. Clinical and translational research
  2. Recruitment
  3. Substance use
  4. Alcohol and drug abuse
  5. Primary care

Authors

Affiliations

Julie Salvador, Ph.D.
Department of Psychiatry (Salvador, Bhatt, Fowler, James, Jacobsohn, and, at the time of the study, Ritz), Clinical and Translational Science Center (Brakey), and Department of Family and Community Medicine (Sussman), University of New Mexico Health Sciences Center, Albuquerque.
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Snehal Bhatt, M.D.
Department of Psychiatry (Salvador, Bhatt, Fowler, James, Jacobsohn, and, at the time of the study, Ritz), Clinical and Translational Science Center (Brakey), and Department of Family and Community Medicine (Sussman), University of New Mexico Health Sciences Center, Albuquerque.
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Rebecca Fowler, M.S., M.P.H.
Department of Psychiatry (Salvador, Bhatt, Fowler, James, Jacobsohn, and, at the time of the study, Ritz), Clinical and Translational Science Center (Brakey), and Department of Family and Community Medicine (Sussman), University of New Mexico Health Sciences Center, Albuquerque.
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Jerrilyn Ritz, M.P.H.
Department of Psychiatry (Salvador, Bhatt, Fowler, James, Jacobsohn, and, at the time of the study, Ritz), Clinical and Translational Science Center (Brakey), and Department of Family and Community Medicine (Sussman), University of New Mexico Health Sciences Center, Albuquerque.
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Regina James
Department of Psychiatry (Salvador, Bhatt, Fowler, James, Jacobsohn, and, at the time of the study, Ritz), Clinical and Translational Science Center (Brakey), and Department of Family and Community Medicine (Sussman), University of New Mexico Health Sciences Center, Albuquerque.
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Vanessa Jacobsohn, M.D.
Department of Psychiatry (Salvador, Bhatt, Fowler, James, Jacobsohn, and, at the time of the study, Ritz), Clinical and Translational Science Center (Brakey), and Department of Family and Community Medicine (Sussman), University of New Mexico Health Sciences Center, Albuquerque.
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Heidi Rishel Brakey, M.A.
Department of Psychiatry (Salvador, Bhatt, Fowler, James, Jacobsohn, and, at the time of the study, Ritz), Clinical and Translational Science Center (Brakey), and Department of Family and Community Medicine (Sussman), University of New Mexico Health Sciences Center, Albuquerque.
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Andrew L. Sussman, Ph.D., M.C.R.P. [email protected]
Department of Psychiatry (Salvador, Bhatt, Fowler, James, Jacobsohn, and, at the time of the study, Ritz), Clinical and Translational Science Center (Brakey), and Department of Family and Community Medicine (Sussman), University of New Mexico Health Sciences Center, Albuquerque.
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Notes

Send correspondence to Dr. Sussman ([email protected]).

Competing Interests

The authors report no financial relationships with commercial interests.

Funding Information

Agency for Healthcare Research and Qualityhttp://dx.doi.org/10.13039/100000133: 1 R18 HSO25345-01
This study was supported by a Clinical and Translational Research—Infrastructure Network (CTR-IN) grant and a grant from the Agency for Healthcare Research and Quality (1 R18 HS025345-01).

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