A Deployment Focused Pragmatic Trial of Optimal Stepped Care Intervention Targeting PTSD and Comorbidity for Acutely Hospitalized Injury Survivors Treated in US Trauma Care Systems
Trial Parameters
Brief Summary
This investigation is a randomized pragmatic trial of a brief stepped care intervention delivered from an acute care medical trauma center that may both reduce the symptoms of posttraumatic stress disorder (PTSD) and diminish emergency department health service utilization.
Eligibility Criteria
Inclusion Criteria: * Injured patients ≥18 years of age * Meet ≥ 3 of 10 risk domain criteria in electronic health records (EHR) screen * Score of ≥ 30 on DSM-5 PTSD Checklist (PCL) score or score of ≥ 35 on DSM-IV PTSD Checklist (PCL) . * Speak English and/or Spanish Exclusion Criteria: * Age \<18 * Not admitted for a traumatic injury * Speak a language other than English and/or Spanish * Acutely suicidal/admitted for a suicide attempt * Cognitively impaired * Incarcerated * Acutely psychotic * Not a resident of Washington, California, Alaska, Oregon, Idaho, Montana, or Nevada * Less than 2 pieces of contact information * Prior history of violence, such that study staff may not be safe * Patient with overwhelming psychiatric distress and not advisable/will not tolerate randomization to control condition * Most recent COVID-19 test positive