CHW-Enhanced Trauma Recovery

This pilot study will evaluate the feasibility, acceptability, and preliminary effectiveness of the Trauma Resilience and Recovery Program Plus (TRRP+), a Community Health Worker-enhanced intervention designed to improve behavioral health engagement and recovery among adult trauma survivors with unmet social needs. One hundred adult trauma patients admitted to the Medical University of South Carolina Level I Adult Trauma Center who screen positive for risk of posttraumatic stress disorder (PTSD) or depression and report at least one unmet social need will receive TRRP+ services. Participants will complete assessments at baseline, 1 month, and 3 months after enrollment. The study will also examine implementation barriers and facilitators to support future dissemination and scale-up of the intervention.

Inclusion Criteria: 1. Adults 18 years of age or older. 2. Admitted to the Medical University of South Carolina (MUSC) Adult Trauma Service following a traumatic injury. 3. English-speaking. 4. Screen positive for risk of posttraumatic stress disorder (PTSD) and/or depression on the Injured Trauma Survivor Screen (ITSS), defined as a score greater than 2 on either subscale. 5. Report at least one unmet social need on the Accountable Health Communities (AHC) Health-Related Social Needs Screening Tool, defined as a score greater than or equal to 1. 6. Able and willing to provide informed consent. Exclusion Criteria: 1. Glasgow Coma Scale (GCS) score less than 13 at hospital admission. 2. Moderate to severe cognitive impairment that precludes informed consent or study participation. 3. Active psychosis. 4. Injury that prevents verbal communication, such as severe traumatic brain injury or spinal cord injury. 5. Self-inflicted injury. 6. Currently incarcerated. 7. Unable to speak or understand English.