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Related Concept Videos

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Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
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Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
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Related Experiment Video

Updated: Mar 15, 2026

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
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Collaborative Care for Adolescents With Persistent Postconcussive Symptoms: A Randomized Trial.

Carolyn A McCarty1,2, Douglas Zatzick3,4, Elizabeth Stein1

  • 1Research Institute, Center for Child Health, Behavior and Development, and.

Pediatrics
|September 15, 2016
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Summary

A new collaborative care model significantly reduced postconcussive and depression symptoms in adolescents after sports concussion. This approach improved functioning and quality of life, offering a promising treatment for slow-to-recover youth.

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Area of Science:

  • Pediatric Neurology
  • Adolescent Psychiatry
  • Sports Medicine

Background:

  • Sports-related concussion frequently leads to persistent postconcussive and psychological symptoms in children and adolescents.
  • Current treatment options lack evidence-based approaches for managing these symptoms in pediatric populations.
  • These symptoms are linked to significant functional impairments and societal costs.

Purpose of the Study:

  • To evaluate a novel collaborative care intervention model for adolescents with persistent symptoms after sports concussion.
  • The model integrates cognitive-behavioral therapy, care management, and psychopharmacological consultation.
  • Hypothesized greater symptom reduction and functional improvement compared to usual care.

Main Methods:

  • Randomized controlled trial involving adolescents (11-17 years) with symptoms ≥1 month post-concussion.
  • Intervention group received collaborative care (n=25); control group received usual care (n=24).
  • Assessments conducted at baseline and 1, 3, and 6 months post-randomization; analyzed using linear mixed-effects models.

Main Results:

  • Collaborative care group showed significant improvements in postconcussive symptoms and functional gains at 6 months.
  • High postconcussive symptoms reported by 13.0% in intervention vs. 41.7% in control (P=.03).
  • Significant reduction in depression symptoms (≥50%) in 78% of intervention vs. 45.8% of control (P=.02); no anxiety changes.

Conclusions:

  • Systematic implementation of collaborative care is effective for adolescents with slow recovery from sports concussion.
  • The intervention successfully reduced postconcussive and psychological symptoms.
  • Improved quality of life observed in adolescents receiving collaborative care.