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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Nationwide Survey of Trauma Center Screening and Intervention Practices for Posttraumatic Stress Disorder, Firearm Violence, Mental Health, and Substance Use Disorders
JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, v 234(3), p274
Mar 2022
PMID: 35213489
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
BACKGROUND Posttraumatic stress disorder (PTSD) symptoms, firearm violence events, alcohol and drug use problems, and major depression and suicidal ideation are endemic among patients admitted to US trauma centers. Despite increasing policy importance, the current availability of screening and intervention services for this constellation of conditions in US trauma centers is unknown. STUDY DESIGN Trauma program staff at all Level I and Level II trauma centers in the US. (N = 627) were contacted to complete a survey describing screening and intervention procedures for alcohol and drug use problems, PTSD symptoms, depression and suicidality, and firearm violence. Additional questions asked trauma centers about the delivery of peer interventions and information technology capacity for screening and intervention procedures. RESULTS: Fifty-one percent of trauma centers (n = 322) responded to the survey. More than 95% of responding sites endorsed routinely screening and/or intervening for alcohol use problems. Routine services addressing PTSD were less common, with 28% of centers reporting routine screening. More than 50% of sites that screened for PTSD used previously established trauma center alcohol use services. Programmatic screening and intervention for firearm injury sequelae was occurring at 30% of sites. CONCLUSION Alcohol screening and intervention is occurring frequently at US trauma centers and appears to be responsive to American College of Surgeons Committee on Trauma verification requirements. Routine screening and intervention services for PTSD and firearm injury were occurring less frequently. Regular national surveys may be a key element of tracking progress in national mental health and substance use screening, intervention, and referral policy. (C) 2022 by the American College of Surgeons. Published by Wolters Kluwer Health, Inc. All rights reserved.
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Details
- Title
- Nationwide Survey of Trauma Center Screening and Intervention Practices for Posttraumatic Stress Disorder, Firearm Violence, Mental Health, and Substance Use Disorders
- Publication Details
- JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, v 234(3), p274
- Publisher
- LIPPINCOTT WILLIAMS & WILKINS; PHILADELPHIA
- Grant note
- This research was supported within the National Institutes of Health (NIH) Health Care Systems Research Collaboratory by cooperative agreement 4UH3MH106338-02 from the NIH Common Fund and by UH3 MH 106338-05S1 from the National Institute of Mental Health (NIMH). Support was also provided by the NIH Common Fund through cooperative agreement (U24AT009676) from the Office of Strategic Coordination within the Office of the NIH Director. This investigation was also supported in part by the Patient-Centered Outcomes Research Institute (PCORI) Award (IH-1304-6319, IHS-2017C1-6151).
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Drexel University
- Web of Science ID
- WOS:000765912000004
- Scopus ID
- 2-s2.0-85125551095
- Other Identifier
- 991021861200304721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Surgery