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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 [1719]