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Table 1 Core elements of collaborative care intervention targeting PTSD and comorbidity after injury

From: An effectiveness-implementation hybrid trial study protocol targeting posttraumatic stress disorder and comorbidity

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

  1. MCC multiple chronic condition, EHR electronic health record, PTSD posttraumatic stress disorder, TBI traumatic brain injury, MI motivational interviewing, CBT cognitive behavioral therapy
  2. aAll study elements address MCC Goal 4 of Enhancing Research Knowledge on MCCs [17–19]