Redesign of a brief PTSD treatment in safety net integrated primary care: Supporting implementation in the context of the COVID-19 pandemic

•We identified pandemic-related challenges to PTSD treatment implementation.•Provider burden (burnout) was an implementation barrier in safety net primary care.•The shift to telehealth appears to have increased behavioral health access and utilization.•Patient technology access and literacy were major implementation barriers.•Our project re-design aims to be responsive to provider and technology barriers.