@article{ref1,
title="Implementation of a stepped care program to address posttraumatic stress disorder and depression in a Level II trauma center",
journal="Injury",
year="2023",
author="Espeleta, Hannah C. and Litvitskiy, Nicole S. and Higgins, Kristen and Ridings, Leigh E. and Bravoco, Olivia and Jones, Seon and Ruggiero, Kenneth J. and Davidson, Tatiana",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: The Trauma Resilience and Recovery Program (TRRP) is a technology enhanced model of care that includes education, screening, and service referrals to address posttraumatic stress disorder and depression following traumatic injury. TRRP has shown high rates of engagement at a Level I trauma center, but Level II centers have fewer resources and face more challenges to addressing patients' mental health needs. <br><br>METHODS: We utilized clinical administrative data to examine engagement in TRRP in a Level II trauma center with 816 adult trauma activation patients. <br><br>RESULTS: Most patients (86%) enrolled in TRRP, but only 30% completed screens during a 30-day follow-up call. Three-quarters of patients who endorsed clinically significant symptoms accepted treatment recommendations/referrals. <br><br>CONCLUSIONS: Engagement at each step of the model was lower than previously reported in a Level I center. Differences likely correspond to lower rates of mental health symptoms in the trauma patients at this setting. We discuss program adaptations that may be needed to improve patient engagement.<p /> <p>Language: en</p>",
language="en",
issn="0020-1383",
doi="10.1016/j.injury.2023.110922",
url="http://dx.doi.org/10.1016/j.injury.2023.110922"
}