Trauma history screening a community mental health center
Trauma history screening a community mental health center
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DOI：
10.1176/appi.ps.55.2.157
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发表时间：
2004-02-01
影响因子：
3.8
通讯作者：
Brady, KT
中科院分区：
文献类型：
--
作者：
Cusack, KJ;Frueh, BC;Brady, KT
目的：本研究使用一种简明的创伤筛查工具，评估了一家社区精神卫生中心的消费者一生中创伤事件的患病率。本研究还探讨了创伤暴露与身心健康后遗症之间的关系，并确定是否在摄入量的创伤筛查措施的常规管理会导致增加创伤后应激障碍（PTSD）的诊断和治疗计划的变化在实践中设置。研究方法：一个13个项目，自我报告的创伤筛查工具，缩短版本的成人创伤评估工具，被纳入社区精神卫生中心（CMHC）的摄入量评估过程。从2001年5月1日至2002年1月31日，在连续向CMHC提交的515名消费者中，共有505人接受了调查。对创伤暴露和创伤后应激障碍诊断率的初步评估数据进行了检查，并对97例（19%）病例进行了图表审查，以确定CMHC服务解决创伤相关问题的程度。结果：数据显示，460名消费者（91%）暴露于一种或多种创伤性生活经历。创伤事件的数量与12项简表上的身心健康功能呈负相关。健康调查（SF-12）。有性虐待史的受试者的SF-12评分显着更高，反映出身体和心理健康状况较差。虽然在实施创伤筛查工具后PTSD诊断率增加，但实际提供的PTSD治疗服务率没有变化。结论：这项研究强烈建议，筛查创伤史应成为心理健康评估的常规部分，并可能显着提高PTSD的识别率。然而，在实施适当治疗方面仍有许多工作要做。
Objective: This study assessed the lifetime prevalence of traumatic events among consumers of a community mental health center by using a brief trauma screening instrument. This study also examined the relationship between trauma exposure and physical and mental health sequelae and determined whether the routine administration of a trauma screening measure at intake would result in increased diagnoses of posttraumatic stress disorder (PTSD) and in changes in treatment planning in a practice setting. Methods: A 13-item, self-report trauma screening instrument, a shortened version of the Trauma Assessment of Adults instrument, was incorporated into the intake assessment process at a community mental health center (CMHC). A total of 505 out of 515 consumers who presented to the CMHC consecutively were surveyed from May 1, 2001, to January 31, 2002. Data from the initial assessment on trauma exposure and on rate of PTSD diagnosis were examined, and a chart review was conducted on 97 cases (19 percent) to determine,the extent to which CMHC services addressed trauma-related problems. Results: Data indicated that 460 consumers (91 percent) had been exposed to one or more traumatic life experiences. The number of traumatic events was negatively correlated with physical and mental health functioning on the 12-item Short-Form. Health Survey (SF-12). Subjects with a history of sexual abuse scored significantly higher on the SF-12, reflecting poorer physical and mental health. Although the rate of PTSD diagnosis increased after implementation of the trauma screening instrument, the rates of actual PTSD treatment services provided did not change. Conclusions: This study strongly suggests that screening for trauma history should be a routine part of mental health assessment and may significantly improve the recognition rate of PTSD. However, much work remains to be done in implementing appropriate treatment.