Networks and communications |
“In the [TCC arm] the care manager is more key to the interventions and the connection to the primary care doc as well.” (Psychiatrist, male) |
“I would say I felt pretty siloed for the [TER arm]. Whereas for [the TCC arm] since we worked so closely with the care manager I felt at least like a dyad with the care manager.” (Psychiatrist, male) |
About the TER arm: “I have reached out to the SPIRIT psychiatrists that the patients are seeing within our study. And I have done that multiple times and that's been very helpful.” (Psychologist, female) |
“In the [TCC arm] for the most part I really would have loved to meet virtually all the docs and PAs and NPs I was working with and that just wasn't a possibility. But in one of my clinics, like one of the PAs came to my panel meetings and they asked me some questions over the video and that was really great and I think it empowered her to call me a couple of times with questions.” (Psychiatrist, male) |
“The [TER arm] mimics […] care as usual a little bit more closely. Like I don't normally reach out to the PCP of all my patients, just if there's something medical going on or something I need to coordinate with them on. But with [the TCC arm] obviously you rely on them a lot more for the actual prescriptions and all these pieces.” (Psychiatrist, male) |
Logistical challenges in the clinic |
About the TER arm: “Sometimes you didn't get it emailed until after you were done seeing the patient. So you had the therapy decisions without the PHQ‐9.” (Psychiatrist, male) |
“With the [TCC arm] of course we always had the [PHQ] data.” (Psychiatrist, male) |
“I didn't notice any differences between the arms.” (Psychiatrist, female) |
“I would get all the screeners on every patient whether they were in the [TCC or TER] arm.” (Psychiatrist, male) |