ArticleJournal of the American College of Surgeons2020
Patient Engagement in a Technology-Enhanced, Stepped-Care Intervention to Address the Mental Health Needs of Trauma Center Patients.
Article in Journal of the American College of Surgeons, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Trial
- Evaluation of a trauma center-based, technology enhanced stepped care intervention to promote the mental health recovery of adolescent traumatic injury survivors.Contemporary clinical trials communications · 2026Article
- Article
- Pilot of a text messaging system to monitor caregivers' and children's mental health recovery after pediatric traumatic injury.Psychological trauma : theory, research, practice and policy · 2024Article
- Hybrid 1 randomized controlled trial of an integrated stepped-care mental health intervention for traumatic injury patients.Contemporary clinical trials · 2024Article
- Social support in relation to posttraumatic stress disorder symptoms among patients with violent versus nonviolent injury.Psychological trauma : theory, research, practice and policy · 2024Article
- User-Guided Enhancements to a Technology-Facilitated Resilience Program to Address Opioid Risks Following Traumatic Injury in Youth: Qualitative Interview Study.JMIR formative research · 2023Article
- Behavioral Health Screening and Follow-Up Services in Pediatric Trauma Centers Across the United States.Journal of pediatric psychology · 2023Article
- Assessment of Traumatic Stress Symptoms During the Acute Posttrauma Period.Focus (American Psychiatric Publishing) · 2023Review
- Article
- Scoping review of the literature to ascertain how follow-up care is provided to major trauma patients post discharge from acute care.BMJ open · 2022Article
- Adolescent Suicide-Understanding Unique Risks and Opportunities for Trauma Centers to Recognize, Intervene, and Prevent a Leading Cause of Death.Current trauma reports · 2022Review
- Prediction of posttraumatic stress and depression one-month post-injury: A comparison of two screening instruments.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2021Article
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Authors and funding
10 authors.
Funding
Abstract
backgroundAnnually, post-traumatic stress disorder, depression, or both, develop in the first year after injury in more than 400,000 adults treated in US trauma centers (≥20%). Yet, few trauma centers monitor and address mental health recovery, and there is limited evaluation and high structural variability across existing programs. More research is needed to guide efforts to establish such programs and to inform national standards and recommendations. STUDY
designThis article describes patient engagement in a stepped-care service to address patients' mental health needs. Trauma-activation patients admitted to our Level I trauma center for at least 24 hours were approached before discharge. Patients were provided education in person at the bedside (step 1), symptom monitoring via a 30-day text-messaging tool (step 2), telephone screening approximately 30 days post injury (step 3), and, when appropriate, mental health treatment referrals and treatment (step 4).
resultsWe approached and educated 1,122 patients (56%) on the floor during a 33-month period. Of these, 1,096 patients (98%) enrolled in our program and agreed to 30-day follow-up mental health screening. We reached 676 patients for the 30-day screen, 243 (36%) of these patients screened positive for post-traumatic stress disorder and/or depression. Most of the 243 patients who graduated to step 4 accepted treatment referrals (68%) or were already receiving services from a provider (7%). Home-based telemental health was preferred by 66% of patients who accepted referrals.
conclusionsThis work demonstrates the feasibility of an evidence-based, technology-enhanced, stepped-care intervention to address the mental health needs of trauma center patients. Strategies to reach a higher percentage of patients in follow-up are needed. We recommend trauma centers test and adopt broad-based approaches to ensure optimal long-term patient outcomes.
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