Collaborative care interventions in general trauma patients.
Collaborative care is a disease management strategy that aims to simultaneously target medical/surgical (eg, physical injury) and psychiatric (eg, posttraumatic stress disorder [PTSD] and depression) conditions. Collaborative care interventions hold promise for the delivery of mental health interventions in acute care as they can incorporate frontline trauma center providers, such as social workers and nurses, into early mental health services delivery and can link trauma center care to outpatient services. Initial randomized clinical trial evidence suggests that collaborative care interventions that incorporate evidence-based motivational interviewing targeting alcohol use, as well as pharmacotherapy and psychotherapy targeting PTSD, may reduce both alcohol and PTSD symptoms among injured trauma surgery patients. Trials conducted to date thus suggest that early mental health interventions can be feasibly and effectively delivered from trauma centers. Future collaborative care investigations that refine routine acute care treatment procedures and target acute care policy mandates can improve the quality of mental health care for Americans injured in the wake of individual and mass trauma.
Petrie
Megan
M
Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Box 359911, 325 Ninth Avenue, Seattle, WA 98104-2499, USA.
Zatzick
Douglas
D
D000203:Activities of Daily Living; D002986:Clinical Trials as Topic; D006801:Humans; D054527:Mass Casualty Incidents; D008605:Mental Health Services / Q000706:statistics & numerical data*; D010348:Patient Care Team; D018802:Patient-Centered Care; D020127:Recovery of Function; D013313:Stress Disorders, Post-Traumatic / Q000209:etiology* / Q000628:therapy; D019966:Substance-Related Disorders / Q000209:etiology / Q000628:therapy; D014193:Trauma Centers; D014947:Wounds and Injuries / Q000150:complications / Q000523:psychology* / Q000534:rehabilitation*
Ann Surg. 2008 Sep;248(3):429-37
18791363
J Abnorm Psychol. 2002 Nov;111(4):626-36
12428776
Psychosom Med. 2000 Nov-Dec;62(6):739-45
11138991
J Trauma. 2002 Oct;53(4):709-16
12394871
J Trauma. 1999 Sep;47(3):460-6; discussion 466-7
10498298
Am J Psychiatry. 2002 Jun;159(6):941-6
12042181
Psychiatr Serv. 2004 Apr;55(4):415-20
15067154
Gen Hosp Psychiatry. 2005 Jan-Feb;27(1):57-62
15694219
Arch Gen Psychiatry. 2001 Sep;58(9):869-76
11545671
J Trauma. 2003 Apr;54(4):707-12
12707532
J Clin Psychiatry. 2001;62 Suppl 17:35-40
11495094
Adv Data. 1994 Mar 2;(245):1-12
10132568
Acad Emerg Med. 2001 Dec;8(12):1187-96
11733300
Psychosom Med. 1997 Nov-Dec;59(6):578-84
9407575
Gen Hosp Psychiatry. 2007 Mar-Apr;29(2):117-22
17336660
Clin Psychol Rev. 2003 Jul;23(4):587-603
12788111
J Abnorm Psychol. 2000 May;109(2):341-4
10895573
Med J Aust. 1993 Oct 18;159(8):529-34
8412952
Arch Gen Psychiatry. 1996 Oct;53(10):924-32
8857869
JAMA. 2003 Aug 6;290(5):643-9
12902368
J Trauma. 1999 May;46(5):765-71; discussion 771-3
10338392
Depress Anxiety. 2004;19(2):77-84
15022142
J Urban Health. 2002 Sep;79(3):332-9
12200502
J Trauma. 1999 Nov;47(5):867-73
10568714
Biol Psychiatry. 2002 Jan 15;51(2):189-92
11822998
Semin Clin Neuropsychiatry. 2003 Jul;8(3):149-57
12874735
J Trauma. 2004 Aug;57(2):360-6
15345986
Ann Surg. 1999 Oct;230(4):473-80; discussion 480-3
10522717
J Am Acad Child Adolesc Psychiatry. 2006 Oct;45(10):1188-1195
17003664
N Engl J Med. 1987 Dec 24;317(26):1630-4
3683502
Med Care. 2001 Apr;39(4):327-39
11329520
Ann Intern Med. 1997 Dec 15;127(12):1097-102
9412313
JAMA. 1997 Jun 11;277(22):1769-74
9178789
J Trauma. 2001 Aug;51(2):287-92; discussion 292-3
11493786
J Bone Joint Surg Am. 2003 Sep;85(9):1689-97
12954826
N Engl J Med. 2004 Jul 1;351(1):13-22
15229303
Arch Surg. 2002 Feb;137(2):200-5
11822960
J Consult Clin Psychol. 2008 Aug;76(4):668-76
18665694
JAMA. 2002 Dec 11;288(22):2836-45
12472325
Am J Psychiatry. 2004 Nov;161(11 Suppl):3-31
15617511
Am J Psychiatry. 2005 Feb;162(2):276-82
15677591
Pediatrics. 2006 Jan;117(1):130-8
16396870
J Nerv Ment Dis. 1992 Dec;180(12):767-72
1469375
Ann Intern Med. 2001 May 1;134(9 Pt  2):917-25
11346329
Gen Hosp Psychiatry. 2001 May-Jun;23(3):114-23
11427243
Arch Gen Psychiatry. 1999 Dec;56(12):1109-15
10591288
Am J Psychiatry. 1999 Apr;156(4):589-95
10200739