{"id":1027,"date":"2004-09-01T10:12:00","date_gmt":"2004-09-01T14:12:00","guid":{"rendered":"http:\/\/jaydub.cms-devl.bu.edu\/aodhealth\/2004\/01\/01\/collaborative-care-reduces-alcohol-problems-and-ptsd-in-trauma-patients\/"},"modified":"2017-01-31T11:47:23","modified_gmt":"2017-01-31T16:47:23","slug":"collaborative-care-reduces-alcohol-problems-and-ptsd-in-trauma-patients","status":"publish","type":"post","link":"https:\/\/www.bu.edu\/aodhealth\/2004\/09\/01\/collaborative-care-reduces-alcohol-problems-and-ptsd-in-trauma-patients\/","title":{"rendered":"Collaborative Care Reduces Alcohol Problems and PTSD in Trauma Patients"},"content":{"rendered":"
\n <\/p>\n

Of
\n the 2.5 million Americans who sustain acute injuries that require
\n hospitalization each year, approximately 20%\u201340% meet criteria
\n for current or lifetime alcohol abuse or dependence, and 10%\u201340%
\n will develop posttraumatic stress disorder (PTSD). This
\n study assessed a multifaceted collaborative care intervention (delivered
\n by a master’s level case manager, a trauma support specialist,
\n a psychiatrist, and a psychologist) to prevent or ameliorate these
\n conditions among acutely injured trauma survivors.<\/p>\n

Researchers
\n randomly assigned 120 trauma center patients aged 18 or older (50%
\n with alcohol abuse and\/or dependence) to usual care (UC) or collaborative
\n care (CC). Collaborative care combined usual trauma services
\n with stepped care consisting of postinjury case management, motivational
\n interviewing to reduce alcohol use, and pharmacotherapy and\/or
\n cognitive behavioral therapy for persistent PTSD. In the
\n subsequent year, alcohol abuse\/dependence decreased 24% on average
\n in the CC group while increasing 13% in the UC group (a significant
\n difference). PTSD rates did not change in the CC group, but
\n increased 6% in the UC group (also a significant difference). <\/p>\n

<\/p>\n

\n\t\t\t\t\t\t\n\t\t\t\t\t<\/div>\n

Comments:<\/h2>\n

\t\t\t\t\t<\/p>\n

This <\/p>\n

study suggests that early behavioral health intervention<\/p>\n

for injured survivors of trauma can be effectively delivered<\/p>\n

in trauma centers. Routine integration of mental
\n health and substance abuse services into the acute management
\n of individual or mass trauma appears to decrease alcohol
\n consequences and even prevent PTSD, although studies of
\n health-related quality of life and cost-effectiveness are
\n warranted. Nonetheless, with a growing acceptance
\n of alcohol screening and intervention by trauma surgeons,
\n the time is right for the dissemination of effective collaborative
\n care models.<\/p>\n

\t\t\t\t\t
\n
\n\t\t\t\t\t\t Peter
\n D. Friedmann, MD, MPH
\n\t\t\t\t\t<\/cite><\/p>\n

\n\t\t\t\t\t\n\t\t\t\t\t<\/div>\n

Reference:<\/h2>\n

\t\t\t\t\t<\/p>\n

Zatzick <\/p>\n

D, Roy-Byrne P, Russo J, et al. A randomized effectiveness
\n trial of stepped collaborative care for acutely injured
\n trauma survivors. Arch Gen Psychiat. <\/em>2004;61(5):498\u2013506.
(view
\n abstract)<\/a><\/p>\n

\n\t\t\t\t<\/div>\n","protected":false},"excerpt":{"rendered":"

Of the 2.5 million Americans who sustain acute injuries that require hospitalization each year, approximately 20%\u201340% meet criteria for current or lifetime alcohol abuse or dependence, and 10%\u201340% will develop posttraumatic stress disorder (PTSD). This study assessed a multifaceted collaborative care intervention (delivered by a master’s level case manager, a trauma support specialist, a psychiatrist, […]<\/p>\n","protected":false},"author":11272,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[60],"tags":[76],"_links":{"self":[{"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/posts\/1027"}],"collection":[{"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/users\/11272"}],"replies":[{"embeddable":true,"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/comments?post=1027"}],"version-history":[{"count":1,"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/posts\/1027\/revisions"}],"predecessor-version":[{"id":2260,"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/posts\/1027\/revisions\/2260"}],"wp:attachment":[{"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/media?parent=1027"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/categories?post=1027"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/tags?post=1027"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}