None listed
Conditions
Brief summary
Mental health disorders are seen in up to 30-50% of people involved in traffic accidents. Post-traumatic stress disorder (PTSD) and depression are common mental health disorders experienced by survivors of traumatic incidents and are predictive of poor recovery. Research suggests that providing psychosocial rehabilitation programs and early intervention/identification is paramount. This study will involve providing Social work and psychology input to patients who report anxiety following a traumatic injury. This will occur at 4-6 weeks post acute hospital discharge. The outcome will be their self reported anxiety/distress at 6 months post injury.
Interventions
Study participants will receive an intervention phone call from a Social Worker or Clinical Psychologist within 5-7 days of completing the screening tools [EuroQOL 5 Dmension 5 Level((EQ5D-5L), Primary Care PTSD screen for DSM-5 (PC-PTSD-5), Kessler 10 (K10) and Multidimensional Scale of Perceived Social Support )MSPSS)] in order to triage the participant for social work or psychology intervention and undertake initial goal setting. If scores indicate high distress, the research assistant or project lead will alert the Social worker (SW) and/or psychologist for priority call for risk assessment and treatment as indicated. The appropriate clinician and interventions to be delivered will be identified based on the results from the questionnaires. Social Work interventions include assessment and interventions related to housing/financial/legal issues, social supports, or emotional support. Clinical Psychology interventions include psychosocial support with focus on psychoeducation, psychological first aid, trauma informed emotional support and coping strategies. Both interventions will provide the patient with personalised resources, dependent on patient needs eg information regarding child support, family violence, Lifeline etc. The sessions will take place via phone call unless the patient has a strong desire for face to face meetings which could be facilitated. Depending upon the levels of distress and/or concerns raised by the participants in both response to the questionnaires and/ in the phone contact, psychology and/social work interventions will be provided as deemed clinically necessary. Community referrals will be facilitated as required, and duration and frequency of sessions will be considered in line with psychology and social work professional duty of care standards, hence the total duration is unknown but we anticipate that the follow up will be less than 2 months. Session completion records including length and number of treatments will be recorded.
Sponsors
Study design
Eligibility
Inclusion criteria
All patients admitted to the trauma unit at The Alfred between 1/2/2026 to 31/1/2027 who meet study eligibility criteria will be approached regarding study inclusion: Inclusion criteria - Age 18 years or older - Admitted to The Alfred trauma ward following a traumatic incident - Able to provide written informed consent - EQ-5D is a routinely administered questionnaire as part of usual care: threshold for study inclusion is an anxiety/depression score =moderate on hospital admission or discharge (approximately 250 patients/year) - Valid Medicare card
Exclusion criteria
discharge destination is prison unable to consent for themselves