A Policy Relevant US Trauma Care System Pragmatic Trial for PTSD and Comorbidity (TSOS6)
Posttraumatic Stress Disorder, Depression, Alcohol-Related Disorders
About this trial
This is an interventional treatment trial for Posttraumatic Stress Disorder
Eligibility Criteria
Inclusion Criteria:
- Patient currently admitted to inpatient/emergency department for a traumatic injury
Exclusion Criteria:
- Non-English speaking
- Self-inflicted injury
- Actively psychotic
- Incarcerated or in custody
- Less than 35 on PTSD Checklist
- Less than 3 items on PTSD medical record screen
- Less than 2 pieces of contact information
Sites / Locations
- Honor Health
- Cedars Sinai
- U.C. Davis
- Santa Clara Valley Medical Center
- U.C.L.A. Harbor
- Hartford Hospital
- Georgia Regents
- Eskenazi Health
- University of Iowa
- University of Kentucky
- Louisiana State University
- Regions Hospital
- Jacobi Medical Center
- University of Rochester
- Wake Forest
- University of Cincinnati
- Ohio State University
- Baylor Health Care System
- UT Southwestern Medical Center
- University of Texas Medical Branch at Galveston
- The University of Utah
- The University of Vermont
- Inova Trauma Center
- The University of Wisconsin Madison
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Intervention
Usual Care
The intervention aims to prevent the development of chronic PTSD and depressive symptoms, alcohol use problems, and enduring physical disability in survivors of both traumatic brain injury(TBI) and non-TBI injuries. The intervention utilizes a computerized decision support tool to flexibly target these multiple conditions including and includes care management, motivational interviewing, cognitive behavioral therapy elements, psychotropic drugs, and psychotherapy elements.
Enhanced standard care practices will be administered to this arm. This enhancement is sharing distressing emotional symptoms at recruitment with the attending nursing staff to address with patient subject.