1. IMPacting ACute Trauma: Does a brief preventive intervention affect PTSD outcomes? (IMPACT)
Co-PI: Ben Coopwood, MD, FACS
Clinical Coordinator: Katherine Houck, MSSW, LCSW, LCDC
University Medical Center at Brackenridge
Co-PI: Stacey Stevens Manser, PhD
The University of Texas at Austin School of Social Work

2. Findings
AIM 1: To assess the prevalence of patients at-risk for the development of PTSD.
Symptoms at bedside
Met PTSD criteria: 90 day
Ratios (n=91) 1
34.6%
9/26 2
48.2%
14/29 3
57.6%
15/26 4
90%
9/10
Among 1,541 patients in acute care, 650 were screened. Among those, 26% had 1 or more traumatic symptoms at bedside.
Intervention and Control participants in intervention were not significantly different by demographic variables or trauma screening.
AIM 2: To implement and assess the effectiveness of a BPI to prevent development of PTSD.
*control and intervention are equivalent
AIM 3: To analyze disparities of health outcomes, treatment seeking-behaviors and barriers to care among study participants through analysis of study specific and trauma registry data.
90 days post injury: 24% sought treatment for trauma symptoms and 28% asked for help in seeking mental health provider = 52% desiring traumatic stress treatment caused by injury.
Barriers to accessing care: no providers; no transportation; no insurance or funds to pay for treatment; focus on ongoing rehabilitation; and, didn’t think they needed it.

3. Policy and Practice Implications
Trauma training and network development among practitioners
Connection of Medicine and Social Work
Timing may be key: the brief preventive intervention needs further testing, but outreach and assessment after discharge is needed
Potential inclusion of PTSD screening in hospital nursing assessment

4. Future Research/Collaboration
Study will provide pilot data to seek other funding sources for a larger, potentially multi-site study with extended follow up interviews
Collaboration among study staff at UMCB and UT School of Social Work
Seton currently piloting PTSD outpatient services