Adolescent Trauma Recovery and Stress Disorders Collaborative Care (ATRSCC) Model Program Trial
ATRSCC
Maternal Child Health Bureau Adolescent Trauma Recovery and Stress Disorders Collaborative Care (ATRSCC) Model Program Trial
3 other identifiers
interventional
120
1 country
1
Brief Summary
Recent needs assessments suggest that difficulties exist in care coordination between emergency medical services (EMS) systems and primary care for injured adolescents with alcohol problems and post-traumatic stress disorder (PTSD). This project will implement, evaluate, and disseminate the adolescent trauma support service model program that aims to enhance coordination between EMS systems and primary care/community services.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Mar 2008
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
February 6, 2008
CompletedFirst Posted
Study publicly available on registry
February 20, 2008
CompletedStudy Start
First participant enrolled
March 1, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 31, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2014
CompletedResults Posted
Study results publicly available
November 7, 2017
CompletedFebruary 19, 2018
February 1, 2018
2.7 years
February 6, 2008
July 3, 2017
February 16, 2018
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Number of Patients With High Levels of Adolescent PTSD Symptoms
Patients with symptoms consistent with a diagnosis of PTSD on the UCLA PTSD Reaction Index were counted. The UCLA PTSD-RI can be used to create an algorithm consistent with a diagnosis of PTSD by rating 1 intrusive, 3 avoidant, and 2 arousal symptoms with a rating of moderate severity. The PTSD-RI is scored on a scale from 0 (none of the time) - 4 (most of the time) with a \> = 2 "some of the time" denoting this cutoff for moderate severity. This algorithm was used to identify patients with high PTSD symptom levels consistent with a diagnosis of PTSD.
Baseline (injury), then 2, 5, and 12 months post-injury
Secondary Outcomes (4)
Number of Patients Who Self-reported Alcohol Consumption or Drug Use
Baseline (injury), and 2, 5, and 12 months post-injury
Percentage of Asolescents Linked to Primary Care During the Study
Up to12 months post-injury
Percentage of Adolescents Who Self-reported Weapon Carriage
Baseline (injury), then 2, 5, and 12 months post-injury
Number of Patients Experiencing High-Level Depressive Symptoms
Baseline (injury), then 2, 5, and 12 months post-injury
Study Arms (2)
Intervention
EXPERIMENTALAdolescent Trauma Support Program
Control
NO INTERVENTIONUsual Care Control Condition
Interventions
The study team will be organized into an adolescent trauma support service. The adolescent trauma support service will fundamentally restructure psychosocial care by integrating post-injury medical treatment with alcohol and PTSD detection and treatment. The adolescent trauma support specialists will deliver a stepped collaborative care intervention to adolescents and their families over the 6-12 months post-injury.
Eligibility Criteria
You may qualify if:
- The investigators will screen all English speaking female and male adolescents ages 12-18, who present to Harborview Medical Center with injuries so severe that they require inpatient admission and/or \> 24 hour observation in the emergency department.
- All dyads where both parents consent and adolescents assent to the study will be enrolled in the study and randomized.
You may not qualify if:
- Adolescents who have suffered head, spinal cord, or other severe injuries that prevent participation in the baseline interview will be excluded from the protocol.
- Patients who require immediate intervention (e.g., self-inflicted injury, active psychosis, mania, and victims of family abuse) will be excluded and referred to the Harborview Inpatient Psychiatric Consult Service.
- Patients who are currently incarcerated or are likely to face criminal charges will be excluded.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Washingtonlead
- HRSA/Maternal and Child Health Bureaucollaborator
Study Sites (1)
Harborview Medical Center
Seattle, Washington, 98104, United States
Related Publications (1)
Zatzick D, Russo J, Lord SP, Varley C, Wang J, Berliner L, Jurkovich G, Whiteside LK, O'Connor S, Rivara FP. Collaborative care intervention targeting violence risk behaviors, substance use, and posttraumatic stress and depressive symptoms in injured adolescents: a randomized clinical trial. JAMA Pediatr. 2014 Jun;168(6):532-9. doi: 10.1001/jamapediatrics.2013.4784.
PMID: 24733515RESULT
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Doug Zatzick, MD
- Organization
- University of Washington
Study Officials
- PRINCIPAL INVESTIGATOR
Douglas F. Zatzick, MD
University of Washington
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
February 6, 2008
First Posted
February 20, 2008
Study Start
March 1, 2008
Primary Completion
October 31, 2010
Study Completion
June 1, 2014
Last Updated
February 19, 2018
Results First Posted
November 7, 2017
Record last verified: 2018-02