Essential element | Which disorders targeted | MCC strategic framework goals addresseda |
---|---|---|
Population-based EHR PTSD and comorbidity risk prediction | PTSD, depression, suicidal ideation, alcohol and drug use problems, TBI and chronic medical conditions after acute injury | Goal 1 objective D implement and efficiently use health information technology; EHR screening efficiently identifies constellation of PTSD and comorbidity in injured populations |
Care management with trauma center to primary care linkage | Coordination of acute injury mental health and pre-existing chronic medical condition care | Goal 2 facilitate use of community based services and self-care management |
Early post-injury medication history, reconciliation, and care coordination | PTSD, depression, pain, and TBI symptoms prevention. Chronic medical condition reconciliation and coordination | Goal 1 objective E prevent occurrence of new chronic conditions and mitigate the consequences of existing conditions |
Goal 2 objective C provide tools for medication management | ||
Evidence-based MI embedded within care management | Targets alcohol and drug use problems and enhanced patient engagement | Goal 1 objective E prevent occurrence of new chronic conditions and mitigate the consequences of existing conditions |
Evidence-based CBT embedded within care management | Targets PTSD, depression, pain, and TBI symptoms. Also targets enhanced patient self-efficacy | Goal 1 objective E prevent occurrence of new chronic conditions and mitigate the consequences of existing conditions |
Goal 2 objective A facilitate self-care management | ||
Patient and caregiver-centered posttraumatic concern elicitation and improvement | Patient-centered concerns elicitation and improvement targets patient and family engagement in care of full MCC constellation | Goal 2 optimize self-care management and coordinated use of services by patient and caregivers |
Caseload supervision and stepped measurement-based care implementation | PTSD, depression and associated suicidal ideation, alcohol and drug use problems, chronic medical conditions and acute physical injury | Goal 3 provide better information and education on treatment of MCCs to health care workers |