Implementation of a Stepped Care Program to Address Emotional Recovery among Traumatic Injury Patients.
J Am Coll Surg
; 237(6): 810-825, 2023 12 01.
Article
em En
| MEDLINE
| ID: mdl-37815166
ABSTRACT
BACKGROUND:
Annually, over 600,000 adults served in US trauma centers (≥20%) develop posttraumatic stress disorder (PTSD) and/or depression in the first year after injury. American College of Surgeons guidelines include screening and addressing mental health recovery in trauma centers. Yet, many trauma centers do not monitor and address mental health recovery, and it is a priority to learn how to implement evidence-informed mental health programs in trauma centers. STUDYDESIGN:
This report describes our application of the Exploration, Preparation, Implementation, Sustainment model to implement the Trauma Resilience and Recovery Program (TRRP) in 3 Level I and II trauma centers to address patients' mental health needs. TRRP is a scalable and sustainable stepped model of care-one of the few in the US-that provides early intervention and direct services after traumatic injury.RESULTS:
Trauma centers are well positioned to accelerate patients' mental health recovery via early identification, education, screening, and referrals to mental health agencies that provide best-practice care. We found that TRRP was acceptable to the 3 partnering trauma centers we studied. Early engagement of patient, provider, and hospital administration stakeholders enhanced buy-in during the early stages of the implementation process and promoted sustainability. Active processes to support monitoring, evaluation, and adaptation were critical.CONCLUSIONS:
Our work demonstrates the feasibility of implementing and adapting TRRP, a cost-efficient and sustainable stepped care intervention, in Level I and II trauma centers. Several factors should be carefully considered by trauma centers seeking to integrate behavioral health interventions into their trauma program.
Texto completo:
1
Coleções:
01-internacional
Temas:
Atencao_primaria_forma_integrada
Base de dados:
MEDLINE
Assunto principal:
Transtornos de Estresse Pós-Traumáticos
Tipo de estudo:
Guideline
/
Prognostic_studies
/
Sysrev_observational_studies
Aspecto:
Implementation_research
Limite:
Adult
/
Humans
Idioma:
En
Revista:
J Am Coll Surg
Ano de publicação:
2023
Tipo de documento:
Article