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Implementation of a stepped care program to address posttraumatic stress disorder and depression in a Level II trauma
Hannah C Espeleta1, Nicole S Litvitskiy1, Kristen Higgins1
1College of Nursing, Medical University of South Carolina, 99 Jonathan Lucas Street Charleston, SC 29425, USA.
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.
Methods:
We utilized clinical administrative data to examine engagement in TRRP in a Level II trauma center with 816 adult trauma activation patients.
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.
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.
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