A5019895496- Posttraumatic Stress Disorder Research
- Trauma and Emergency Care Studies
- Emergency and Acute Care Studies
- Traumatic Brain Injury Research
- Cardiac Arrest and Resuscitation
- Migration, Health and Trauma
- Child Abuse and Trauma
- Suicide and Self-Harm Studies
- Health Policy Implementation Science
- Primary Care and Health Outcomes
- Disaster Response and Management
- Injury Epidemiology and Prevention
- Gun Ownership and Violence Research
- Mental Health Treatment and Access
- Intensive Care Unit Cognitive Disorders
- Resilience and Mental Health
- Traumatic Brain Injury and Neurovascular Disturbances
- Opioid Use Disorder Treatment
- Family and Patient Care in Intensive Care Units
- Health Systems, Economic Evaluations, Quality of Life
- Healthcare Policy and Management
- Child and Adolescent Psychosocial and Emotional Development
- Healthcare professionals’ stress and burnout
- Palliative Care and End-of-Life Issues
- Maternal Mental Health During Pregnancy and Postpartum
University of Washington
2016-2025
Seattle University
2012-2024
Harborview Medical Center
2008-2023
Harborview Injury Prevention and Research Center
2014-2023
Institute of Behavioral Sciences
2013-2021
Philadelphia University
2020
Medical University of the Americas
2020
Burn Institute
2020
In-Q-Tel
2020
Society of Thoracic Surgeons
2020
OBJECTIVE: Although posttraumatic stress disorder (PTSD) is a highly prevalent and often chronic condition, the relationship between PTSD functioning quality of life remains incompletely understood. METHOD: The authors undertook an archival analysis data from National Vietnam Veterans Readjustment Study. study subjects consisted nationally representative sample male veterans who participated in estimated at time interview with Mississippi Scale for Combat-Related Posttraumatic Stress...
OBJECTIVE: This study analyzed questionnaire items that address complaints about sleep from the National Vietnam Veterans Readjustment Study, a nationally representative sample of 3.1 million men and women who served in Vietnam. compared frequency nightmares difficulties with onset maintenance male theater veterans era veteran civilian comparison subjects. It focused on role combat exposure, nonsleep posttraumatic stress disorder (PTSD) symptoms, comorbid psychiatric medical disorder,...
In Brief Objective: To examine factors other than injury severity that are likely to influence functional outcomes after hospitalization for injury. Summary Background Data: This study used data from the National Study on Costs and Outcomes of Trauma investigation association between posttraumatic stress disorder (PTSD), depression, return work development impairments Method: A total 2707 surgical inpatients who were representative 9374 injured patients recruited 69 hospitals across US. PTSD...
Context: Although posttraumatic stress disorder (PTSD) and alcohol abuse frequently occur among acutely injured trauma survivors, few real-world interventions have targeted these disorders.Objective: We tested the effectiveness of a multifaceted collaborative care (CC) intervention for PTSD abuse.Design: Randomized trial.Participants: recruited population-based sample 120 male female surgical inpatients 18 or older at level I center.Intervention: Patients were randomly assigned to CC (n =...
ABSTRACT Background Injured survivors of individual and mass trauma are at risk for developing post-traumatic stress disorder (PTSD). Few investigations have assessed PTSD after injury in large samples across diverse acute care hospital settings. Method A total 2931 injured aged 18–84 who were representative 9983 in-patients recruited from 69 hospitals the USA. In-patient medical records abstracted, hospitalized patients interviewed 3 12 months injury. Symptoms consistent with a DSM-IV...
OBJECTIVE: This investigation assessed the detection and treatment of psychiatric disorders at-risk substance use among pregnant women in obstetric sector. METHOD: The Primary Care Evaluation Mental Disorders Patient Health Questionnaire modified CAGE questionnaires were used to assess current 186 receiving prenatal care. Medical records reviewed for evidence obstetrical providers' recognition symptoms diagnoses initiation evaluations treatments. associations between patient characteristics...
In Brief Objective: To test the effectiveness of a stepped care intervention model targeting posttraumatic stress disorder (PTSD) symptoms after injury. Background: Few investigations have evaluated interventions for injured patients with PTSD and related impairments that can be feasibly implemented in trauma surgical settings. Methods: The investigation was pragmatic trial which 207 acutely hospitalized survivors were screened high symptom levels then randomized to combined management,...
OBJECTIVE: Each year approximately 2.5 million Americans are hospitalized after sustaining traumatic physical injuries. Few investigations have comprehensively screened for posttraumatic symptomatic distress or identified predictors of stress disorder (PTSD) in representative samples surgical inpatients. METHOD: The subjects were 101 randomly selected survivors motor vehicle crashes assaults who interviewed while and 1, 4, 12 months injury. In the ward, inpatients PTSD, depressive,...
The clinical research enterprise is not producing the evidence decision makers arguably need in a timely and cost effective manner; currently involves use of labor-intensive parallel systems that are separate from care. emergence pragmatic trials (PCTs) poses possible solution: these large-scale embedded within routine care often involve cluster randomization hospitals, clinics, primary providers, etc. Interventions can be implemented by health system personnel through usual communication...
Objective: To assess the association between early posttraumatic stress disorder (PTSD) and depressive symptoms functional quality-of-life outcomes among injured youth.Design: Prospective cohort study.Setting: Combined pediatric-adult level I
The effect of the 2003 severe pediatric traumatic brain injury (TBI) guidelines on outcomes has not been examined. We aimed to develop a set acute care guideline-influenced clinical indicators adherence and tested relationship between these during first 72 hours after hospital admission discharge outcomes.
Risk for violent victimization or crime perpetration after firearm-related hospitalization (FRH) must be determined to inform the need future interventions.To compare risk subsequent injury, death, among patients with an FRH, those hospitalized noninjury reasons, and general population.Retrospective cohort study.All hospitals in Washington.Patients FRH a random sample of non-injury-related 2006 2007 (index hospitalization).Primary outcomes included combined outcome firearm- violence-related...
Pragmatic clinical trials of mental health services are increasingly being developed to establish comparative effectiveness, influence sustainable implementation, and address real world policy decisions. However, use time resource intensive qualitative methods in pragmatic may be inconsistent with the aims efficiency cost minimization. This paper introduces a method known as Rapid Assessment Procedure-Informed Clinical Ethnography (RAPICE) that combines techniques Procedures ethnography. A...
Suicide is the second leading cause of death among US adolescents, and in-home firearm access an independent risk factor for suicide. Given recommendations to limit by those with mental health factors suicide, we hypothesized that adolescents such would be less likely report access.To estimate prevalence self-reported quantify lifetime illness suicidality (ie, suicidal ideation, planning, or attempt) living a in home, compare between without specific suicide.Cross-sectional analysis data...
BACKGROUND AND OBJECTIVES: Postconcussive and co-occurring psychological symptoms are not uncommon after sports-related concussion associated with functional impairment societal costs. There is no evidence-based treatment targeting postconcussive in children adolescents. The goal of this study was to test a collaborative care intervention model embedded cognitive–behavioral therapy, management, psychopharmacological consultation. We hypothesized that patients would demonstrate greater...
Violence and injury risk behaviors, alcohol drug use problems, posttraumatic stress disorder (PTSD) depressive symptoms occur frequently among adolescents presenting to acute care medical settings after traumatic physical injury.To test the effectiveness of a stepped collaborative intervention targeting this constellation behaviors in randomly sampled hospitalized with without brain injury.A pragmatic randomized clinical trial was conducted at single US level I trauma center. Participants...
To date, few multisite investigations have evaluated early interventions for injured patients with posttraumatic stress disorder (PTSD) symptoms.
Patients undergoing trauma surgery for injury who have subsequent posttraumatic stress disorder (PTSD) or problem drinking will demonstrate significant impairments in functional outcomes compared with patients without these disorders.Prospective cohort study.Level I academic center.One hundred one randomly selected survivors of intentional and unintentional injuries were interviewed while hospitalized again 1 year later. The investigation achieved a 73% 1-year follow-up rate.Posttraumatic...
We examined the associations between psychiatric and substance use diagnoses low birth weight (LBW), very (VLBW), preterm delivery among all women delivering in California hospitals during 1995.This population-based retrospective cohort analysis used linked hospital discharge certificate data for 521,490 deliveries. Logistic regression analyses were conducted to assess maternal LBW, VLBW, while controlling demographic medical characteristics.Women with had a significantly higher risk of LBW...