Petrie Megan, Zatzick Douglas
Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Box 359911, 325 Ninth Avenue, Seattle, WA 98104-2499, USA.
Oral Maxillofac Surg Clin North Am. 2010 May;22(2):261-7. doi: 10.1016/j.coms.2010.01.002.
Collaborative care is a disease management strategy that aims to simultaneously target medical/surgical (eg, physical injury) and psychiatric (eg, posttraumatic stress disorder [PTSD] and depression) conditions. Collaborative care interventions hold promise for the delivery of mental health interventions in acute care as they can incorporate frontline trauma center providers, such as social workers and nurses, into early mental health services delivery and can link trauma center care to outpatient services. Initial randomized clinical trial evidence suggests that collaborative care interventions that incorporate evidence-based motivational interviewing targeting alcohol use, as well as pharmacotherapy and psychotherapy targeting PTSD, may reduce both alcohol and PTSD symptoms among injured trauma surgery patients. Trials conducted to date thus suggest that early mental health interventions can be feasibly and effectively delivered from trauma centers. Future collaborative care investigations that refine routine acute care treatment procedures and target acute care policy mandates can improve the quality of mental health care for Americans injured in the wake of individual and mass trauma.
协作式照护是一种疾病管理策略，旨在同时针对医疗/外科（如身体损伤）和精神疾病（如创伤后应激障碍[PTSD]和抑郁症）状况。协作式照护干预措施有望在急性护理中提供心理健康干预，因为它们可以将一线创伤中心的工作人员，如社会工作者和护士，纳入早期心理健康服务的提供过程中，并能将创伤中心的护理与门诊服务相联系。初步的随机临床试验证据表明，结合针对酒精使用的循证动机访谈以及针对PTSD的药物治疗和心理治疗的协作式照护干预措施，可能会减轻创伤外科手术患者的酒精问题和PTSD症状。迄今为止进行的试验表明，早期心理健康干预可以在创伤中心切实有效地实施。未来的协作式照护研究若能完善常规急性护理治疗程序并针对急性护理政策要求，就能提高在个人和大规模创伤事件中受伤的美国人的心理健康护理质量。
