RT Article
T1 Exploring Collaborative Care Effects on the Mental and Physical Health of Patients With and Without Violent Victimization Histories
JF Journal of interpersonal violence
VO 38
IS 9/10
SP 6865
OP 6887
A1 Hullenaar, Keith L.
A1 Rivara, Frederick P.
A1 Wang, Jin
A1 Zatzick, Douglas F.
A2 Rivara, Frederick P.
A2 Wang, Jin
A2 Zatzick, Douglas F.
LA English
YR 2023
UL https://krimdok.uni-tuebingen.de/Record/1841093904
AB Collaborative care is a multicomponent intervention delivered by frontline social work, nursing, and physician providers to address patients’ physical, emotional, and social needs. We argued that collaborative care may particularly benefit patients with a violent victimization history because it practices three principles of trauma-informed care: patient–provider collaboration, preventing repeat trauma in clinical and community settings, and delivering comprehensive mental and physical healthcare. We conducted an exploratory secondary data analysis of a collaborative care randomized clinical trial involving patients who presented with traumatic physical injury at a Level I trauma center in Washington state between 2006 and 2009. We used random-effect linear regression models to estimate how histories of multiple violent traumas moderated the effects of the collaborative care intervention on Short Form-36 Mental Component Summary (MCS) and Physical Component Summary (PCS) T-scores over time. Collaborative care significantly improved follow-up MCS scores among patients who experienced three to four types of violent victimization in their lifetime. Additionally, intervention effects on MCS scores at the 3- and 6-month follow-up were clinically stronger for patients who reported three to four types of violent victimization (3-month = 7.5, 95% confidence level [CI] = 5.1 to 18.7; 6-month = 11.9, 95% CI = 5.1 to 18.7) than those without a history of violent victimization (3-month = 0.8, 95% CI = −5.1, 6.6; 6-month = 5.6, −2.4 to 13.5). We did not find that intervention effects on PCS scores differed between these groups at any wave. Collaborative care may be a promising approach to delivering trauma-informed mental healthcare to patients with histories of multiple types of violent victimization.
K1 treating violent trauma
K1 victim health
K1 victim healthcare
K1 trauma-informed care
K1 collaborative care
DO 10.1177/08862605221138655