Trauma Resilience and Recovery Program for PTSD
Recruiting in Palo Alto (17 mi)
Age: Any Age
Sex: Any
Travel: May Be Covered
Time Reimbursement: Varies
Trial Phase: Academic
Recruiting
Sponsor: Medical University of South Carolina
Disqualifiers: Cognitive impairment, Active psychosis, Substance abuse, others
No Placebo Group
Trial Summary
What is the purpose of this trial?The purpose of this study to learn about patients' experience with the Trauma Resilience and Recovery program (TRRP) and/or the enhanced care group.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.
What data supports the effectiveness of the Trauma Resilience and Recovery Program treatment for PTSD?
The Trauma Resilience and Recovery Program (TRRP) has shown high engagement rates in trauma centers, indicating its potential effectiveness in addressing PTSD and depression after traumatic injuries. Additionally, similar programs like the PTSD Recovery Program have been effective in reducing PTSD symptoms in different populations, such as refugees, suggesting that TRRP may also be beneficial.
12345How is the Trauma Resilience and Recovery Program (TRRP) treatment different from other PTSD treatments?
The Trauma Resilience and Recovery Program (TRRP) is unique because it is a technology-enhanced model that combines education, screening, and service referrals to address PTSD and depression after traumatic injury, focusing on high engagement even in resource-limited settings. Unlike traditional cognitive therapies, it uses a 'bottom-up' approach, emphasizing sensory awareness for emotion regulation, which may be more effective for trauma recovery.
34567Eligibility Criteria
This trial is for English or Spanish speakers aged 16+ who are admitted to George Washington University's trauma center and show a risk for PTSD or depression after injury. Exclusions include severe brain injuries, cognitive impairments, psychosis, inability to communicate verbally, or serious substance abuse.Inclusion Criteria
I am 16 or older, speak English or Spanish, and at risk for PTSD or depression after a trauma.
Exclusion Criteria
Patients who have a Glasgow Coma Scale score under 13 at hospital admission
Patients with moderate to severe cognitive impairment (as measured by the Montreal Cognitive Assessment)
I do not have a current, serious substance abuse problem.
+2 more
Trial Timeline
Screening
Participants are screened for eligibility to participate in the trial
2-4 weeks
Initial Intervention
Participants receive education at the bedside about mental health recovery after traumatic injury, risk assessment, and brief intervention for high-risk patients
1-2 weeks
In-person at the trauma center
Symptom Monitoring and Education
Participants engage in symptom self-monitoring and continued education via an automated text messaging system
4 weeks
PTSD and Depression Screening
Screening for PTSD and depression by chatbot or telephone 30 days post-injury
1 week
Virtual
Referral and Handoff
Referral and warm handoff to mental health services if needed
Ongoing as needed
Follow-up
Participants are monitored for clinical and functional outcomes at 3-, 6-, and 12-months post-baseline
12 months
3 visits (in-person or virtual)
Participant Groups
The study evaluates the Trauma Resilience and Recovery Program (TRRP) compared with enhanced care in patients at risk of developing PTSD or depression following traumatic injury. It aims to understand patient experiences within these programs.
2Treatment groups
Experimental Treatment
Active Control
Group I: Trauma Resilience and Recovery ProgramExperimental Treatment1 Intervention
TRRP is a stepped model of care that delivers education at the bedside about mental health recovery after traumatic injury as well as risk assessment and brief intervention for high-risk patients (Step 1), fosters symptom monitoring and continued education (Step 2), screens for PTSD and depression 30 days post-injury (Step 3), and provides a referral and warm handoff to mental health services if needed (Step 4)
Group II: Enhanced Usual Care ConditionActive Control1 Intervention
Patients in the EUC arm will be given education about mental health after traumatic injury, educational materials about mental health recovery, and local referral information to assist treatment-seeking patients in seeking care.
Find a Clinic Near You
Research Locations NearbySelect from list below to view details:
George Washington University HospitalWashington, VA
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Who Is Running the Clinical Trial?
Medical University of South CarolinaLead Sponsor
George Washington UniversityCollaborator
Agency for Healthcare Research and Quality (AHRQ)Collaborator
References
Turning wounds into wisdom: Posttraumatic growth over the course of two types of trauma-focused psychotherapy in patients with PTSD. [2018]Treatment studies in PTSD patients have mostly focused on adverse psychopathological outcomes whereas positive outcomes have received less attention. Objectives of this study were to investigate posttraumatic growth in response to two different psychotherapies, to examine the relationship between symptom improvement and growth, and to determine if posttraumatic growth predicted treatment response.
Outcome after major trauma: 12-month and 18-month follow-up results from the Trauma Recovery Project. [2022]The importance of outcome after major injury has continued to gain attention in light of the ongoing development of sophisticated trauma care systems in the United States. The Trauma Recovery Project (TRP) is a large prospective epidemiologic study designed to examine multiple outcomes after major trauma in adults aged 18 years and older, including quality of life, functional outcome, and psychologic sequelae such as depression and posttraumatic stress disorder (PTSD). Patient outcomes were assessed at discharge and at 6, 12, and 18 months after discharge. The specific objectives of the present report are to describe functional outcomes at the 12-month and 18-month follow-ups in the TRP population and to examine the association of putative risk factors with functional outcome.
Using a Veterans Affairs Posttraumatic Stress Disorder Group Therapy Program With Refugees. [2019]The PTSD Recovery Program, an intervention based on guidelines for the treatment of combat Veterans diagnosed with posttraumatic stress disorder (PTSD) that includes group therapy as adjunctive treatment to medication and individual therapy, was used for the treatment of PTSD in refugees at a clinic in central Texas. Eighteen clients diagnosed with PTSD completed 10 weekly group therapy sessions in addition to individual therapy and medication use. An in-service presentation educated providers on the PTSD Recovery Program and the group therapy intervention. Data were collected using a pre- and postintervention questionnaire. Statistical analysis supports the effectiveness of the PTSD Recovery Program as an adjunctive treatment for PTSD in the refugee population. Participant statements and provider satisfaction are included as qualitative data. Participant statements about symptom improvement, as well as providers' reported satisfaction with the PTSD Recovery Program, support this intervention as an effective adjunctive treatment for PTSD in the refugee population. [Journal of Psychosocial Nursing and Mental Health Services, 57(5), 21-28.].
Implementation of a stepped care program to address posttraumatic stress disorder and depression in a Level II trauma center. [2023]The Trauma Resilience and Recovery Program (TRRP) is a technology enhanced model of care that includes education, screening, and service referrals to address posttraumatic stress disorder and depression following traumatic injury. TRRP has shown high rates of engagement at a Level I trauma center, but Level II centers have fewer resources and face more challenges to addressing patients' mental health needs.
Factors influencing participation in psychosocial programming among orthopaedic trauma patients with PTSD. [2022]Post Traumatic Stress Disorder (PTSD) commonly occurs following acute trauma. Post-injury outcomes are negatively impacted by PTSD. Trauma Recovery Services (TRS) programming was developed at our institution in 2013 to provide psychosocial programming that increases patient satisfaction with care and ability to return to work and decreases PTSD symptoms. We sought to identify factors that influence patients' decision to participate in programming.
Trauma Resilience and Recovery Program: Addressing Mental Health in Pediatric Trauma Centers. [2022]Approximately 225,000 children sustain injuries requiring hospitalization annually. Posttraumatic stress disorder (PTSD) and depression are prevalent among pediatric patients and caregivers post-injury. Most U.S. trauma centers do not address patients' mental health needs. Better models of care are needed to address emotional recovery. This article describes the engagement and recovery trajectories of pediatric patients enrolled in the Trauma Resilience and Recovery Program (TRRP), a stepped-care model to accelerate emotional recovery following hospitalization.
The Trauma Resiliency Model: A "Bottom-Up" Intervention for Trauma Psychotherapy. [2019]The Trauma Resiliency Model (TRM) is an innovative therapeutic approach for trauma. This "bottom-up" somatic approach comprises nine skills that use sensory awareness for emotion regulation and integration. Body-based therapies may be more effective for trauma than currently used cognitive ('top-down") and exposure therapies.