title: A care planning strategy for traumatic life events in community mental health and inpatient psychiatry based on the InterRAI assessment instruments.
abstract: Clinical triggers from the Traumatic Life Events Clinical Assessment Protocol (CAP) identify individuals who might benefit from formal services or additional supports targeted towards trauma treatment. The Traumatic Life Events CAP identifies two groups who have experienced one or more potentially traumatic life events: (1) those who are in immediate danger due to current abuse/criminal victimization; (2) those who have experienced one or more traumatic events that evoked an intense sense of horror or fear. Descriptive analysis was conducted across psychiatric hospital and community-based mental health service settings to compare the two triggered groups to those without traumatic experiences (the not-triggered group). The Traumatic Life Events CAP identified subpopulations with unrecognized and untreated traumatic-stress-related symptoms, which are of great concern for those in community-based mental health services who are in immediate danger due to current abuse.
authors.affiliation: University of Waterloo, ON, Canada. kmathias@uwaterloo.ca
authors.forename: Krista
authors.initials: K
authors.lastname: Mathias
authors.forename: J P
authors.initials: JP
authors.lastname: Hirdes
authors.forename: D
authors.initials: D
authors.lastname: Pittman
mesh_terms: D000328:Adult; D000368:Aged; D000465:Algorithms; D003156:Community Mental Health Services / Q000458:organization & administration*; D005260:Female; D006778:Hospitals, Psychiatric; D006801:Humans; D007297:Inpatients / Q000523:psychology* / Q000706:statistics & numerical data; D008016:Life Change Events; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment / Q000458:organization & administration*; D010347:Patient Care Planning / Q000458:organization & administration*; D018802:Patient-Centered Care; D011569:Psychiatric Status Rating Scales; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy; D011795:Surveys and Questionnaires / Q000592:standards*; D055815:Young Adult
references.citation: Psychiatr Q. 2002 Summer;73(2):135-44
references.pmid: 12025721
references.citation: J Behav Health Serv Res. 2008 Jan;35(1):60-70
references.pmid: 17963044
references.citation: J Consult Clin Psychol. 1998 Jun;66(3):493-9
references.pmid: 9642887
references.citation: Behav Modif. 2009 Jan;33(1):66-81
references.pmid: 18723837
references.citation: J Psychiatr Ment Health Nurs. 2009 Sep;16(7):646-53
references.pmid: 19689558
references.citation: Psychiatr Serv. 2004 Feb;55(2):157-62
references.pmid: 14762240
references.citation: J Behav Health Serv Res. 2002 Nov;29(4):419-32
references.pmid: 12404936
references.citation: J Gerontol. 1994 Jul;49(4):M174-82
references.pmid: 8014392
references.citation: Age Ageing. 2000 Mar;29(2):165-72
references.pmid: 10791452
references.citation: Age Ageing. 2008 Jan;37(1):51-6
references.pmid: 18033777