Testing a Scalable Model of Care to Improve Patients Access to Mental Health Services After Traumatic Injury

Launched by MEDICAL UNIVERSITY OF SOUTH CAROLINA · Aug 9, 2022

Keywords

ClinConnect Summary

This clinical trial is looking at a program called the Trauma Resilience and Recovery Program (TRRP), which aims to help patients who have experienced traumatic injuries and may be struggling with conditions like posttraumatic stress disorder (PTSD) or depression. The study wants to understand how patients feel about this program and an enhanced care group that works alongside it. If you or a loved one is 16 years old or older, speaks English or Spanish, and has been admitted to the trauma center at George Washington University hospital with signs of PTSD or depression, you might be eligible to participate.

Participants in this study can expect to share their experiences with the TRRP and receive support aimed at improving their mental health after a traumatic event. However, individuals with severe cognitive issues, active psychosis, or certain types of injuries that affect communication will not be included. This is an important step in making sure that patients receive the right type of care for their needs. If you think this trial might be a fit for you or someone you know, consider talking to your healthcare provider for more information.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • English- or Spanish-speaking patients ≥ 16 years old who are admitted to George Washington University hospital's trauma center and screen positive on the Injured Trauma Survivors Screen (which indicates risk for development of posttraumatic stress disorder and/or depression) will be included.
• Exclusion Criteria:
• • Patients who have a Glasgow Coma Scale score under 13 at hospital admission, moderate to severe cognitive impairment (as measured by the Montreal Cognitive Assessment), active psychosis, or injury that prevents verbal communication (e.g., serious head or spinal cord injury) or is self-inflicted will be excluded. Patients with positive substance use screens via GWU's SBIRT protocol (\~7% of the patient population) will be assessed by the clinical team with reference to severity and recency of substance use problems. We have found at MUSC that a high percentage of patients with SBIRT- positive screens are nevertheless good candidates for TRRP (\>85%), but patients with serious, active substance abuse problems are likely not good candidates for TRRP and therefore will be excluded and referred to a substance use treatment center.