Task-shifting to improve the reach of mental health interventions for trauma patients: findings from a pilot study of trauma nurse training in patient-centered activity scheduling for PTSD and depression
| Autor: | Amy W Wagner, Chris Dunn, Douglas F. Zatzick, Doyanne Darnell, David C. Atkins, Shannon Dorsey, Lea E. Parker |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male 050103 clinical psychology medicine.medical_specialty Adolescent Psychological intervention Pilot Projects Article Health Services Accessibility Stress Disorders Post-Traumatic Young Adult 03 medical and health sciences 0302 clinical medicine Patient-Centered Care medicine Humans 0501 psychology and cognitive sciences In patient Nurse education Education Nursing Psychiatry Depression (differential diagnoses) Depression business.industry Public health 05 social sciences Middle Aged Activity scheduling Mental health 030227 psychiatry Psychotherapy Clinical Psychology Treatment Outcome Psychotherapy Brief Female Task shifting business |
| Zdroj: | Cogn Behav Ther |
| ISSN: | 1651-2316 1650-6073 |
| DOI: | 10.1080/16506073.2018.1541928 |
| Popis: | Despite high rates of posttraumatic stress disorder (PTSD) and depression among traumatically injured patients, engagement in session-based psychotherapy early after trauma is limited due to various service utilization and readiness barriers. Task-shifting brief mental health interventions to routine trauma center providers is an understudied but potentially critical part of the continuum of care. This pilot study assessed the feasibility of training trauma nurses to engage patients in patient-centered activity scheduling based on a Behavioral Activation paradigm, which is designed to counteract dysfunctional avoidance/withdrawal behavior common among patients after injury. Nurses (N = 4) and patients (N = 40) were recruited from two level II trauma centers. A portion of a one day in-person workshop included didactics, demonstrations, and experiential activities to teach brief intervention delivery. Nurses completed pre- and post-training standardized patient role-plays prior to and two months after training, which were coded for adherence to the intervention. Nurses also completed exit interviews to assess their perspectives on the training and addressing patient mental health concerns. Findings support the feasibility of training trauma nurses in a brief mental health intervention. Task-shifting brief interventions holds promise for reaching more of the population in need of post-trauma mental health care. |
| Databáze: | OpenAIRE |
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