Collaborative Care Interventions in General Trauma Patients

Petrie, Megan; Zatzick, Douglas

doi:10.1016/j.cpen.2011.08.008

Cited by 5 publications

(6 citation statements)

References 51 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Indeed, bedside contact can facilitate opportunities to introduce mental health services and provide psychoeducation while simultaneously creating space for providers to listen and quickly respond to patient concerns, build trust, and problem-solve without undue burden. This collaborative process can promote long-term engagement following discharge 32 . Notably, although Black patients were more likely to report elevated distress at first contact, they were equally likely to enroll in TRRP relative to White patients, which suggests that, when opportunities to engage in treatment are equitable (i.e., absent of barriers), engagement disparities may decline.…”

Section: Discussionmentioning

confidence: 99%

“…This collaborative process can promote long-term engagement following discharge. 32 Notably, although Black patients were more likely to report elevated distress at first contact, they were equally likely to enroll in TRRP relative to White patients, which suggests that, when opportunities to engage in treatment are equitable (i.e., absent of barriers), engagement disparities may decline.…”

Section: Racial Differences In Trauma Type and Enrollment In Trrp Ser...mentioning

confidence: 99%

See 1 more Smart Citation

Differences in mental health engagement and follow-up among Black and White patients after traumatic injury

Bernard

O’Loughlin

Davidson

et al. 2022

J Trauma Acute Care Surg

View full text Add to dashboard Cite

BACKGROUND:Severe injury necessitating hospitalization is experienced by nearly three million US adults annually. Posttraumatic stress disorder and depression are prevalent clinical outcomes. The mechanisms by which programs equitably promote mental health recovery among trauma-exposed patients are understudied. We evaluated clinical outcomes and engagement among a cohort of Black and White patients enrolled in the Trauma Resilience and Recovery Program (TRRP), a stepped-care model to accelerate mental health recovery after traumatic injury. METHODS: Trauma Resilience and Recovery Program is a four-step model that includes (1) bedside psychoeducation about mental health recovery following traumatic injury, (2) a text-messaging symptom tracking system, (3) a 30-day postinjury mental health screen, and (4) referrals to mental health services. Data describe 1,550 patients enrolled in TRRP within a Level I trauma center (M age = 40.86; SD, 17.32), 611 of whom identified as Black (74.5% male) and 939 of whom identified as White (67.7% male). RESULTS:Enrollment in TRRP was nearly universal (97.9%) regardless of race or injury mechanism. Enrollment and usage of the textmessage system were statistically similar between Black (35.7%) and White patients (39.5%). Trauma Resilience and Recovery Program reengaged Black and White patients at a similar rate at the 30-day postinjury follow-up. However, Black patients were more likely to report peritraumatic distress at the bedside and clinical elevations in posttraumatic stress disorder and depression on the 30-day screen. Referrals were more likely to be accepted by Black patients relative to White patients with clinically elevated symptoms. CONCLUSION:Enrollment and engagement were comparable among Black and White patients served by TRRP. Data provide preliminary evidence to suggest that TRRP is feasible and acceptable and engages patients in mental health follow-up equitably. However, research that includes careful measurement of social determinants of health and long-term follow-up examining initiation, completion, and benefit from treatment is needed.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Racial Differences In Trauma Type and Enrollment In Trrp Ser...mentioning

confidence: 99%

Differences in mental health engagement and follow-up among Black and White patients after traumatic injury

Bernard

O’Loughlin

Davidson

et al. 2022

J Trauma Acute Care Surg

View full text Add to dashboard Cite

show abstract

“…PTSD is a severe syndrome that can be effectively treated at an early stage [32]. However, as stated before, random intervention is not recommended and can even have adverse effects [13].…”

Section: Discussionmentioning

confidence: 99%

Characteristics of polytrauma patients with posttraumatic stress disorder in a level 1 trauma center

Kreis

Castano

Tuinebreijer

et al. 2011

Eur J Trauma Emerg Surg

View full text Add to dashboard Cite

Aims The aims of this study were to determine if the severity of injury is related to the prevalence of posttraumatic stress disorder (PTSD) in polytrauma patients and to review the personality traits of patients with PTSD. Results PTSD was demonstrated in 22.6% of the patients. Methods ConclusionsAn increased level of neuroticism, negative cognitions regarding themselves, and active dealing were found to be significant predictors of PTSD. However, we found no relation between the injury severity score and the prevalence of PTSD.

show abstract

“…32,30 Specifically, the literature suggests difficulty in engaging trauma patients after discharge. 33 Furthermore, subjects were being enrolled into the evaluation group during the program's initial rollout, potentially not allowing enough time for the program to become firmly established. A review of multistrategy, multitarget injury prevention interventions suggested programs were more likely to be effective if they had been running for more than 2 years to 3 years.…”

Section: Low Program Usementioning

confidence: 99%

Improving outcomes at Level I trauma centers

Castillo

Wegener

Newell

et al. 2013

Journal of Trauma and Acute Care Surgery

View full text Add to dashboard Cite

BACKGROUND:The Trauma Survivors Network (TSN), a program developed to help patients and families manage the psychosocial impact of their injuries, combines information access, self-management training, peer support, and online social networking. The purpose of this study was to evaluate the effectiveness of the TSN in improving patient reported outcomes among orthopedic trauma patients at a Level I trauma center. METHODS:We prospectively enrolled 251 patients with either severe lower-extremity injuries or polytrauma in two cohorts: one group (n = 125) before implementation of the TSN and one group (n = 126) after implementation. Participants were interviewed during their initial hospital stay and at 6 months. Outcomes evaluated at 6 months included depression, anxiety, self-efficacy, health status, and patient activation. RESULTS:Participation in the individual components of the TSN was low, ranging between 3% for the NextSteps self-management program and 27% for receipt of the Patient and Family Handbook. There were no statistically significant differences between treatment and control groups in self-efficacy, anxiety, health status, or activation. There were statistically significant differences in depression (24% of patients with probable depression in the TSN group vs. 40% in the control group, p = 0.02). However, the groups were not balanced with respect to sex, education, and baseline social support. After controlling for these differences, the TSN group still had 49% lower odds (95% confidence interval, 0% to 74%) of depression ( p = 0.05). CONCLUSION:The TSN represents a potentially important step toward the development of comprehensive psychosocial support programs for trauma survivors. Despite improvements in one important outcome, a key finding of this evaluation is the low rate of use of program components. This finding highlights the need for greater understanding of use barriers and efforts to increase adoption. (J Trauma Acute Care Surg. 2013;74: 1534Y1540.

show abstract

Collaborative Care Interventions in General Trauma Patients

Cited by 5 publications

References 51 publications

Differences in mental health engagement and follow-up among Black and White patients after traumatic injury

Differences in mental health engagement and follow-up among Black and White patients after traumatic injury

Characteristics of polytrauma patients with posttraumatic stress disorder in a level 1 trauma center

Improving outcomes at Level I trauma centers

Contact Info

Product

Resources

About