Improving access to mental health services after traumatic injury
Testing a Scalable Model of Care to Improve Patients Access to Mental Health Services After Traumatic Injury
This study is testing a new program that helps people recover mentally after a traumatic injury to see if it works better than standard care.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 350 (estimated) |
| Ages | 16 Years and up |
| Sex | All |
| Sponsor | Medical University of South Carolina Academic / other |
| Locations | 1 site (Washington, Virginia) |
| Trial ID | NCT05497115 on ClinicalTrials.gov |
What this trial studies
This study evaluates the Trauma Resilience and Recovery Program (TRRP), which provides education and support for mental health recovery following traumatic injuries. The program includes bedside education, risk assessment, symptom self-monitoring via text messaging, and follow-up screenings for PTSD and depression. A randomized controlled trial will compare TRRP with enhanced usual care over a 12-month period, involving 350 patients at George Washington University Hospital. The study also includes qualitative interviews with underrepresented minority groups to enhance the model's effectiveness.
Who should consider this trial
Good fit: Ideal candidates are English- or Spanish-speaking patients aged 16 and older who are admitted to the trauma center and screen positive for PTSD or depression risk.
Not a fit: Patients with severe cognitive impairment, active psychosis, or injuries preventing communication will not benefit from this study.
Why it matters
Potential benefit: If successful, this program could significantly improve mental health outcomes for patients recovering from traumatic injuries.
How similar studies have performed: Other studies have shown promise in similar approaches to improving mental health care access after trauma, indicating potential for success.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * English- or Spanish-speaking patients ≥ 16 years old who are admitted to George Washington University hospital's trauma center and screen positive on the Injured Trauma Survivors Screen (which indicates risk for development of posttraumatic stress disorder and/or depression) will be included. Exclusion Criteria: * Patients who have a Glasgow Coma Scale score under 13 at hospital admission, moderate to severe cognitive impairment (as measured by the Montreal Cognitive Assessment), active psychosis, or injury that prevents verbal communication (e.g., serious head or spinal cord injury) or is self-inflicted will be excluded. Patients with positive substance use screens via GWU's SBIRT protocol (\~7% of the patient population) will be assessed by the clinical team with reference to severity and recency of substance use problems. We have found at MUSC that a high percentage of patients with SBIRT- positive screens are nevertheless good candidates for TRRP (\>85%), but patients with serious, active substance abuse problems are likely not good candidates for TRRP and therefore will be excluded and referred to a substance use treatment center.
Where this trial is running
Washington, Virginia
- George Washington University Hospital — Washington, Virginia, United States (Recruiting)
Study contacts
- Principal investigator: Kenneth Ruggiero, PhD — Medical University of South Carolina
- Study coordinator: Gabriela Becerra, BS
- Email: becerra@musc.edu
- Phone: 8439982602
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.