Validation of the Injured Trauma Survivor Screen: An American Association for the Surgery of Trauma multi-institutional trial

Hunt, Joshua C.; Herrera-Hernandez, Erick; Brandolino, Amber; Jazinski-Chambers, Kelley; Maher, Keri Renee; Jackson, Brianna N.; Smith, Randi N.; Lape, Diane; Cook, Mackenzie R.; Bergner, Carisa L.; Schramm, Andrew T.; Brasel, Karen J.; Moya, Marc A. de; deRoon‐Cassini, Terri

doi:10.1097/ta.0000000000003079

Cited by 12 publications

(6 citation statements)

References 25 publications

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“…Provision of psychological intervention during hospitalization is critical to addressing acute trauma reactions, facilitating recovery for this at-risk population, and ultimately reducing health disparities . Treatment for PTSD is most effective when initiated soon after the traumatic experience, leading to the development of treatment approaches designed for trauma centers . For example, the Multitier Approach to Psychological Intervention (MAPIT) model or the stepped-care approach by Zatzick and colleagues have been shown to be feasible and effective for identifying and supporting patients who may benefit from psychological intervention .…”

Section: Discussionmentioning

confidence: 99%

“…Use of mental health professionals in inpatient medical settings can improve screening and assessment of at-risk trauma patients and facilitate consultation . Using brief screening measures rather than longer questionnaires reduces burden on centers with no available mental health professional or busy social work teams .…”

Section: Discussionmentioning

confidence: 99%

“…Inpatient Screening and Intervention | Use of mental health professionals in inpatient medical settings can improve screening and assessment of at-risk trauma patients and facilitate consultation. 46 Using brief screening measures rather than longer questionnaires reduces burden on centers with no available mental health professional or busy social work teams. 55 For example, one institution developed and validated the Injury Trauma Survivor Screen to screen for risk of PTSD and major depressive episodes.…”

Section: Integrated Psychological Servicesmentioning

confidence: 99%

“…44,45 Treatment for PTSD is most effective when initiated soon after the traumatic experience, leading to the development of treatment approaches designed for trauma centers. 46 For example, the Multitier Approach to Psychological Intervention (MAPIT 47 ) model or the stepped-care approach by Zatzick and colleagues 40 have been shown to be feasible and effective for identifying and supporting patients who may benefit from psychological intervention. 23,41 Stepped-care approaches use screening and then intensive case management that incorporates features of cognitive behavioral and motivational interviewing strategies for patients deemed more at-risk for psychopathology after injury; in addition, longer-term case management is used as needed.…”

Section: Integrated Psychological Servicesmentioning

confidence: 99%

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Comprehensive Framework of Firearm Violence Survivor Care

et al. 2023

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ImportanceFirearm violence is a public health crisis placing significant burden on individuals, communities, and health care systems. After firearm injury, there is increased risk of poor health, disability, and psychopathology. The newest 2022 guidelines from the American College of Surgeons Committee on Trauma require that all trauma centers screen for risk of psychopathology and provide referral to intervention. Yet, implementing these guidelines in ways that are responsive to the unique needs of communities and specific patient populations, such as after firearm violence, is challenging.ObservationsThe current review highlights important considerations and presents a model for trauma centers to provide comprehensive care to survivors of firearm injury. This model highlights the need to enhance standard practice to provide patient-centered, trauma-informed care, as well as integrate inpatient and outpatient psychological services to address psychosocial needs. Further, incorporation of violence prevention programming better addresses firearm injury as a public health concern.Conclusions and RelevanceUsing research to guide a framework for trauma centers in comprehensive care after firearm violence, we can prevent complications to physical and psychological recovery for this population. Health systems must acknowledge the socioecological context of firearm violence and provide more comprehensive care in the hospital and after discharge, to improve long-term recovery and serve as a means of tertiary prevention of firearm violence.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Integrated Psychological Servicesmentioning

confidence: 99%

Section: Integrated Psychological Servicesmentioning

confidence: 99%

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Comprehensive Framework of Firearm Violence Survivor Care

et al. 2023

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“…Several validated tools for identifying risk of development of PTSD and depression 29,30 , posttraumatic stress 31 , generalised anxiety disorder 32 , and depression 33,34 and that would from part of clinical psychology assessments were in use. The Posttraumatic Adjustment Screen has demonstrated reasonable accuracy in a UK population for early identification of patients at risk of later posttraumatic stress and depression following major trauma 26 .…”

Section: Psychological Screening Toolsmentioning

confidence: 99%

Psychological and psychosocial aspects of major trauma care: A survey of current practice across UK and Ireland

Olive

Hives

Ashton

et al. 2023

Trauma

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Introduction Psychological and psychosocial impacts of major trauma, defined as any injury that has the potential to be life-threatening and/or life changing, are common, far-reaching and often enduring. There is evidence that these aspects of major trauma care are often underserved. The aim of this research was to gain insight into the current provision and operationalisation of psychological and psychosocial aspects of major trauma care across the UK and Ireland. Methods A cross-sectional online survey, open to health professionals working in major trauma network hospitals was undertaken. The survey had 69 questions across six sections: Participant Demographics, Psychological First Aid, Psychosocial Assessment and Care, Assessing and Responding to Distress, Clinical Psychology Services, and Major Trauma Keyworker (Coordinator) Role. Results There were 102 respondents from across the regions and from a range of professional groups. Survey findings indicate a lack of formalised systems to assess, respond and evaluate psychological and psychosocial aspects of major trauma care, most notably for patients with lower-level distress and psychosocial support needs, and for trauma populations that don't reach threshold for serious injury or complex health need. The findings highlight the role of major trauma keyworkers (coordinators) in psychosocial aspects of care and that although major trauma clinical psychology services are increasingly embedded, many lack the capacity to meet demand. Conclusion Neglecting psychological and psychosocial aspects of major trauma care may extend peritraumatic distress, result in preventable Years Lived with Disability and widen post-trauma health inequalities. A stepped psychological and psychosocial care pathway for major trauma patients and their families from the point of injury and continuing as they move through services towards recovery is needed. Research to fulfil knowledge gaps to develop and implement such a model for major trauma populations should be prioritised along with the development of corresponding service specifications for providers.

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Dyadic Treatment in the Context of Medical Concerns

McBain,

Schramm

2024

CBT: Science Into Practice

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Validation of the Injured Trauma Survivor Screen: An American Association for the Surgery of Trauma multi-institutional trial

Cited by 12 publications

References 25 publications

Comprehensive Framework of Firearm Violence Survivor Care

Comprehensive Framework of Firearm Violence Survivor Care

Psychological and psychosocial aspects of major trauma care: A survey of current practice across UK and Ireland

Dyadic Treatment in the Context of Medical Concerns

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