Table 2.

Coordination Activities Covered in the 10 Interview Questions

Formalized collaboration and coordination across organizations and settings

Information exchange within teams, across service settings and sector (e.g. extent of oral, written and electronic communication and information exchange, issues related confidentiality)

Availability of electronic tools for communication and information exchange (e.g., text messaging, smartphone apps, care management dashboards, electronic care plan)

Assessment of occurrence of SMI and medical comorbidity

Follow-up of mental health and medical care needs (e.g., practices for referrals, care planning and follow-up of tests, treatment, and services)

Involvement of the individual and family members in decision making about medications, treatment, and follow-up (e.g., practices for shared decision making, including family members in team meetings)

Strategies to promote self-management and engagement in preventive care

Rural influence on coordination (e.g., link with needed medical, social, and other services, transportation, housing, availability of specialist services and providers)

Influence from local and state policies on coordination (e.g., workforce resources, funding)

Barriers and solutions to improve coordination in this setting

Note. SMI = serious mental illness.