{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T12:07:17Z","timestamp":1790856437373,"version":"4.1.0"},"reference-count":43,"publisher":"Ubiquity Press, Ltd.","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J Integr Care"],"abstract":"<jats:p>Background: The Collaborative Care Model (CoCM), which integrates mental health services into primary care through a team-based approach involving GPs, care managers (CM), and mental health consultants, is a proven way to meet these challenges. A first CoCM adaptation in French primary care settings called SESAME has been implemented since 2021.\nMethods: Semi-structured interviews were conducted with all the healthcare professionals involved in SESAME to examine the facilitators and barriers experienced during the first year. Data were analyzed using a qualitative approach combining manual thematic analysis and lexicometric analysis with ALCESTE software.\nResults: Four discourse classes emerged from the analysis. Key facilitators included prior collaborative experience, effective digital communication tools, and clear role understanding. Barriers such as technological challenges, role ambiguity, and referral framework misunderstandings were also identified. The structured inclusion process and rapid access to care were appreciated, but challenges persisted in referral processes and role boundary definitions. Financial coverage and a less stigmatizing approach were seen as benefits.\nConclusion: This study provides insights into the early implementation dynamics of CoCM in a novel context, underscoring the need for clear protocols, ongoing communication, and tailored support to ensure successful integration of mental health services into primary care.\n\u00a0\nR\u00e9sum\u00e9\nContexte: Le mod\u00e8le de soins collaboratifs (Collaborative Care Model, CoCM) int\u00e8gre les soins de sant\u00e9 mentale en soins primaires au sein d\u2019\u00e9quipes pluridisciplinaires associant m\u00e9decins g\u00e9n\u00e9ralistes, infirmiers de coordination (care managers, CM) et professionnels de sant\u00e9 mentale consultants. Il constitue une approche \u00e9prouv\u00e9e pour r\u00e9pondre \u00e0 ces enjeux. En France, une premi\u00e8re adaptation de ce mod\u00e8le, le projet SESAME, est d\u00e9ploy\u00e9e en soins primaires depuis 2021.\nM\u00e9thodes: Des entretiens semi-directifs ont \u00e9t\u00e9 men\u00e9s aupr\u00e8s de l\u2019ensemble des professionnels de sant\u00e9 impliqu\u00e9s dans SESAME afin d\u2019examiner les facilitateurs et les obstacles rencontr\u00e9s au cours de la premi\u00e8re ann\u00e9e de mise en \u0153uvre. Les donn\u00e9es ont \u00e9t\u00e9 analys\u00e9es selon une d\u00e9marche qualitative combinant analyse th\u00e9matique manuelle et analyse lexicom\u00e9trique \u00e0 l\u2019aide du logiciel ALCESTE.\nR\u00e9sultats: Les r\u00e9sultats ont mis en \u00e9vidence quatre classes de discours. Les principaux facteurs facilitants concernaient une exp\u00e9rience pr\u00e9alable de collaboration, l\u2019utilisation d\u2019outils num\u00e9riques de communication efficaces et une bonne compr\u00e9hension des r\u00f4les. Les obstacles relevaient de difficult\u00e9s techniques, d\u2019ambigu\u00eft\u00e9s persistantes dans la d\u00e9finition des r\u00f4les et d\u2019incompr\u00e9hensions concernant les modalit\u00e9s d\u2019inclusion et d\u2019orientation dans le dispositif. Le caract\u00e8re structur\u00e9 du parcours d\u2019inclusion et la rapidit\u00e9 d\u2019acc\u00e8s aux soins ont \u00e9t\u00e9 largement appr\u00e9ci\u00e9s, mais des tensions persistaient autour des processus d\u2019orientation et des responsabilit\u00e9s professionnelles. La prise en charge financi\u00e8re du dispositif ainsi que son caract\u00e8re moins stigmatisant ont \u00e9galement \u00e9t\u00e9 identifi\u00e9s comme des b\u00e9n\u00e9fices.\nConclusion: Cette \u00e9tude apporte des \u00e9clairages sur les dynamiques pr\u00e9coces de mise en \u0153uvre d\u2019un mod\u00e8le de soins collaboratifs en sant\u00e9 mentale en soins primaires dans le contexte fran\u00e7ais. Elle souligne la n\u00e9cessit\u00e9 de protocoles clairs, d\u2019\u00e9changes r\u00e9guliers entre professionnels et d\u2019un accompagnement adapt\u00e9 pour soutenir l\u2019int\u00e9gration des soins de sant\u00e9 mentale en soins primaires.\n\u00a0\nMots-cl\u00e9s: mod\u00e8le de soins collaboratifs; recherche en impl\u00e9mentation; soins primaires; facilitateurs et obstacles; prise en charge de la d\u00e9pression et de l\u2019anxi\u00e9t\u00e9<\/jats:p>","DOI":"10.5334\/ijic.9845","type":"journal-article","created":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T10:47:16Z","timestamp":1790851636000},"page":"1","source":"Crossref","is-referenced-by-count":0,"title":["Early Implementation of Collaborative Care in France: Facilitators and Barriers from the First Year of the SESAME Program"],"prefix":"10.5334","volume":"26","author":[{"given":"Ir\u00e8ne","family":"Bogicevic","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4996-6597","authenticated-orcid":false,"given":"Milena","family":"Kostova","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9290-081X","authenticated-orcid":false,"given":"Pascal","family":"Clerc","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4130-1590","authenticated-orcid":false,"given":"Christine","family":"Passerieux","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0178-5626","authenticated-orcid":false,"given":"Coralie","family":"Gandre","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0877-7944","authenticated-orcid":false,"given":"Nadia","family":"Younes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3285","published-online":{"date-parts":[[2026,10,1]]},"reference":[{"key":"key20261001104658_B1","unstructured":"Institute for Health Metrics and Evaluation (IHME). 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Universit\u00e9 Paris 8 Vincennes-Saint-Denis, 2026."},{"issue":"2","key":"key20261001104658_B34","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1007\/s10488-010-0319-7","article-title":"Outcomes for implementation research: Conceptual distinctions, measurement challenges, and research agenda","volume":"38","year":"2011","journal-title":"Administration and Policy in Mental Health and Mental Health Services Research"},{"key":"key20261001104658_B35","first-page":"581","volume-title":"The Oxford handbook of qualitative research","year":"2014"},{"key":"key20261001104658_B36","unstructured":"Reinert M. Une m\u00e9thode de classification descendante hi\u00e9rarchique: Application \u00e0 l\u2019analyse lexicale par contexte. Les Cahiers de l\u2019Analyse des Donn\u00e9es. 1983;8(2):187\u2013198. 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A systematic review","volume":"214","year":"2017","journal-title":"Journal of Affective Disorders"},{"issue":"2","key":"key20261001104658_B43","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1111\/inm.12584","article-title":"Challenges of adopting the role of care managerwhen implementing the collaborative care model for people with common mental illnesses: A scoping review","volume":"28","year":"2019","journal-title":"International Journal of Mental Health Nursing"}],"container-title":["International Journal of Integrated Care"],"original-title":[],"link":[{"URL":"https:\/\/ijic.org\/articles\/9845\/files\/6abe3df501922.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/ijic.org\/articles\/9845\/files\/6abe3a193d613.xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/ijic.org\/articles\/9845\/files\/6abe39ff3b4d8.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T11:25:59Z","timestamp":1790853959000},"score":1,"resource":{"primary":{"URL":"https:\/\/ijic.org\/articles\/10.5334\/ijic.9845"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,1]]},"references-count":43,"URL":"https:\/\/doi.org\/10.5334\/ijic.9845","relation":{},"ISSN":["1568-4156"],"issn-type":[{"value":"1568-4156","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,1]]}}}