A Deployment Focused Pragmatic Trial of Optimal Stepped Care Intervention Targeting PTSD and Comorbidity for Acutely Hospitalized Injury Survivors Treated in US Trauma Care Systems

This investigation is a randomized pragmatic trial of a brief stepped care intervention delivered from an acute care medical trauma center that may both reduce the symptoms of posttraumatic stress disorder (PTSD) and diminish emergency department health service utilization.

Inclusion Criteria:Injured patients ≥18 years of ageMeet ≥ 3 of 10 risk domain criteria in electronic health records (EHR) screenScore of ≥ 30 on DSM-5 PTSD Checklist (PCL) score or score of ≥ 35 on DSM-IV PTSD Checklist (PCL) .Speak English and/or SpanishExclusion Criteria:Age <18Not admitted for a traumatic injurySpeak a language other than English and/or SpanishAcutely suicidal/admitted for a suicide attemptCognitively impairedIncarceratedAcutely psychoticNot a resident of Washington, California, Alaska, Oregon, Idaho, Montana, or NevadaLess than 2 pieces of contact informationPrior history of violence, such that study staff may not be safePatient with overwhelming psychiatric distress and not advisable/will not tolerate randomization to control conditionMost recent COVID-19 test positive