TY  - JOUR
PY  - 2023//
TI  - Implementation of a stepped care program to address posttraumatic stress disorder and depression in a Level II trauma center
JO  - Injury
A1  - Espeleta, Hannah C.
A1  - Litvitskiy, Nicole S.
A1  - Higgins, Kristen
A1  - Ridings, Leigh E.
A1  - Bravoco, Olivia
A1  - Jones, Seon
A1  - Ruggiero, Kenneth J.
A1  - Davidson, Tatiana
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - 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>
LA  - en
SN  - 0020-1383
UR  - http://dx.doi.org/10.1016/j.injury.2023.110922
ID  - ref1
ER  -