A Policy Relevant US Trauma Care System Pragmatic Trial for PTSD and Comorbidity



Status:Recruiting
Conditions:Chronic Pain, Cognitive Studies, Cognitive Studies, Depression, Hospital, Neurology, Psychiatric, Psychiatric, Psychiatric
Therapuetic Areas:Musculoskeletal, Neurology, Psychiatry / Psychology, Other
Healthy:No
Age Range:18 - Any
Updated:4/21/2016
Start Date:October 2015
End Date:June 2019
Contact:Jeff Love, BA
Email:lovej2@uw.edu
Phone:206-744-9176

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The overarching goal of this UH2-UH3 proposal is to work with the NIH Health Care Systems
Research Collaboratory to develop and implement a large scale, cluster randomized pragmatic
clinical trial demonstration project that directly informs national trauma care system
policy targeting injured patients with presentations of Posttraumatic Stress Disorder (PTSD)
and related comorbidity. Each year in the United States (US), over 30 million individuals
present to trauma centers, emergency departments, and other acute care medical settings for
the treatment of physical injuries. Multiple chronic conditions including enduring PTSD,
alcohol and drug use problems, depression and associated suicidal ideation, pain and somatic
symptom amplification, and chronic medical conditions (e.g., hypertension, coronary artery
disease, diabetes, and pulmonary diseases) are endemic among physical trauma survivors with
and without traumatic brain injuries (TBI). Evidence-based, collaborative care/care
management treatment models for PTSD and related comorbidities exist. These care management
models have the potential to be flexibly implemented in order to prevent the development of
chronic PTSD and depressive symptoms, alcohol use problems, and enduring physical disability
in survivors of both TBI and non-TBI injuries; care management models may also be effective
in mitigating the impact of the acute injury event on symptom exacerbations in the large
subpopulation of injury survivors who already carry a substantial pre-injury burden of
multiple chronic medical conditions.


Inclusion Criteria:

- Inpatient/Emergency Admission for traumatic injury

Exclusion Criteria:

- Non-English speaking

- Self-inflicted injury

- Actively psychotic

- Incarcerated or in custody

- Less than 35 on PTSD Checklist

- Less than 3 items on PTSD medical record screen

- Less than 2 pieces of contact information
We found this trial at
24
sites
Winston-Salem, North Carolina 27157
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85 S Prospect St
Burlington, Vermont 5405
(802) 656-3131
University of Vermont The University of Vermont combines faculty-student relationships most commonly found in a...
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Burlington, VT
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101 Jessup Hall
Iowa City, Iowa 52242
(319) 335-3500
University of Iowa With just over 30,000 students, the University of Iowa is one of...
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Iowa City, IA
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60 Crittenden Blvd # 70
Rochester, New York 14642
(585) 275-2121
University of Rochester The University of Rochester is one of the country's top-tier research universities....
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Rochester, NY
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201 Presidents Circle
Salt Lake City, Utah 84108
801) 581-7200
University of Utah Research is a major component in the life of the U benefiting...
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Salt Lake City, UT
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Augusta, Georgia 30912
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Augusta, GA
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Beverly Hills, California 90211
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Beverly Hills, CA
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1400 Pelham Parkway South
Bronx, New York 10461
(718) 918-5000
Jacobi Medical Center In 1955, the NYC Department of Hospitals opened a new, specialized care...
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Bronx, NY
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2600 Clifton Ave
Cincinnati, Ohio 45267
(513) 556-6000
University of Cincinnati The University of Cincinnati offers students a balance of educational excellence and...
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Cincinnati, OH
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281 W. Lane Ave
Columbus, Ohio 43210
(614) 292-6446
Ohio State University The Ohio State University’s main Columbus campus is one of America’s largest...
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Dallas, Texas 75206
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Dallas, TX
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2201 Inwood Rd
Dallas, Texas 75235
(214) 645-8300
U.T. Southwestern Medical Center The story of UT Southwestern Medical Center is one of commitment...
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Dallas, TX
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Falls Church, Virginia 22042
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Falls Church, VA
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Galveston, TX
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80 Seymour St
Hartford, Connecticut 6102
(860) 545-5000
The Hartford Hospital Hartford Hospital is the major teaching hospital affiliated with the University of...
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Hartford, CT
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650 Eskenazi Avenue
Indianapolis, Indiana 46202
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Indianapolis, IN
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Lexington, Kentucky
859) 257-9000
University of Kentucky The University of Kentucky is a public, land grant university dedicated to...
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Madison, Wisconsin 53706
(608) 263-2400
University of Wisconsin-Madison In achievement and prestige, the University of Wisconsin-Madison has long been recognized...
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New Orleans, Louisiana 70112
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Sacramento, California 95817
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San Jose, California 95128
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Scottsdale, Arizona 85251
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St. Paul, Minnesota 55101
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Torrance, California 90502
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