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Developing psychological services following facial trauma.

Deba Choudhury-Peters¹, Vicky Dain¹

¹East London NHS Foundation Trust, UK.

BMJ Quality Improvement Reports

|August 6, 2016

Summary

Facial injury patients often experience psychological distress, with nearly 40% showing symptoms of depression, anxiety, or PTSD. A pilot psychology service integrated into oral and maxillofacial surgery improved care by providing screening and early intervention.

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Area of Science:

Oral and Maxillofacial Surgery
Psychotraumatology
Mental Health Services Research

Background:

Adult patients in oral and maxillofacial surgery face significant psychological morbidity risks.
Nearly 40% of facial injury patients exhibit symptoms of depression, PTSD, anxiety, or substance misuse.
Current care models lack integrated mental health assessments and accessible psychological services for these patients.

Purpose of the Study:

To design and implement an innovative pilot psychology service within a facial trauma clinic.
To offer collaborative medical and psychological care for all patients with facial injuries.
To provide brief screening, assessment, and early psychological intervention.

Main Methods:

Development and implementation of a one-year pilot psychology service.
Integration of psychological screening and intervention within the facial trauma clinic.
Training for the maxillofacial medical team to identify and manage psychological distress.

Main Results:

The pilot service successfully provided integrated psychological care to facial injury patients.
Early screening and intervention were offered to patients experiencing psychological distress.
The maxillofacial team received training to enhance recognition and response to mental health needs.

Conclusions:

Integrated psychological services are crucial for addressing the high rates of mental health issues in oral and maxillofacial surgery patients.
Collaborative care models improve patient outcomes by providing timely assessment and intervention.
Training healthcare professionals enhances their ability to support patients' psychological well-being.