A Deployment Focused Pragmatic Trial of Optimal Stepped Care Intervention Targeting PTSD and Comorbidity for Acutely Hospitalized Injury Survivors Treated in US Trauma Care Systems (TSOS 8)
PTSD, Physical Injury
About this trial
This is an interventional treatment trial for PTSD focused on measuring PTSD, Physical Injury, Emergency Department Utilization
Eligibility Criteria
Inclusion Criteria: Injured patients ≥18 years of age Meet ≥ 3 of 10 risk domain criteria in electronic health records (EHR) screen Score of ≥ 30 on DSM-5 PTSD Checklist (PCL) score or score of ≥ 35 on DSM-IV PTSD Checklist (PCL) . Speak English and/or Spanish Exclusion Criteria: Age <18 Not admitted for a traumatic injury Speak a language other than English and/or Spanish Acutely suicidal/admitted for a suicide attempt Cognitively impaired Incarcerated Acutely psychotic Not a resident of Washington, California, Alaska, Oregon, Idaho, Montana, or Nevada Less than 2 pieces of contact information Prior history of violence, such that study staff may not be safe Patient with overwhelming psychiatric distress and not advisable/will not tolerate randomization to control condition Most recent COVID-19 test positive
Sites / Locations
- Harborview Medical CenterRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Stepped Collaborative Care (Intervention)
American College of Surgeons (ACS) Required Screening and Referral (Usual Care)
Patients in the intervention condition will receive a stepped collaborative care intervention that includes posttraumatic concern elicitation, proactive care management, medication, and psychotherapy elements targeting posttraumatic stress disorder (PTSD) and related comorbidity.
Patients in the control condition will receive usual trauma center care with American College of Surgeons (ACS) required psychosocial screening and referral.