The trauma collaborative care study (TCCS)

Stephen T. Wegener, Andrew N. Pollak, Katherine P. Frey, Robert A. Hymes, Kristin R. Archer, Clifford B. Jones, Rachel B. Seymour, Robert V. O'Toole, Renan C. Castillo, Yanjie Huang, Daniel O. Scharfstein, Ellen J. MacKenzie, Lauren E. Allen, Jeromie M. Ballreich, Anthony R. Carlini, Susan Collins, Gregory De Lissovoy, Elizabeth Wysocki

Research output: Contribution to journalArticlepeer-review

Abstract

Previous research suggests that the care provided to trauma patients could be improved by including early screening and management of emotional distress and psychological comorbidity. The Trauma Collaborative Care (TCC) program, which is based on the principles of well-established models of collaborative care, was designed to address this gap in trauma center care. This article describes the TCC program and the design of a multicenter study to evaluate its effectiveness for improving patient outcomes after major, high-energy orthopaedic trauma at level 1 trauma centers. The TCC program was evaluated by comparing outcomes of patients treated at 6 intervention sites (n = 481) with 6 trauma centers where care was delivered as usual (control sites, n = 419). Compared with standard treatment alone, it is hypothesized that access to the TCC program plus standard treatment will result in lower rates of poor patientreported function, depression, and posttraumatic stress disorder.

Original languageEnglish (US)
Pages (from-to)S78-S87
JournalJournal of orthopaedic trauma
Volume31
DOIs
StatePublished - 2017

Keywords

  • Collaborative Care
  • Orthopaedic trauma
  • Patient-centered care
  • Psychosocial consequences

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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