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01-12-2010 | Original Paper

A Care Planning Strategy for Traumatic Life Events in Community Mental Health and Inpatient Psychiatry Based on the InterRAI Assessment Instruments

Authors: Krista Mathias, J. P. Hirdes, D. Pittman

Published in: Community Mental Health Journal | Issue 6/2010

Abstract

Clinical triggers from the Traumatic Life Events Clinical Assessment Protocol (CAP) identify individuals who might benefit from formal services or additional supports targeted towards trauma treatment. The Traumatic Life Events CAP identifies two groups who have experienced one or more potentially traumatic life events: (1) those who are in immediate danger due to current abuse/criminal victimization; (2) those who have experienced one or more traumatic events that evoked an intense sense of horror or fear. Descriptive analysis was conducted across psychiatric hospital and community-based mental health service settings to compare the two triggered groups to those without traumatic experiences (the not-triggered group). The Traumatic Life Events CAP identified subpopulations with unrecognized and untreated traumatic-stress-related symptoms, which are of great concern for those in community-based mental health services who are in immediate danger due to current abuse.

Australian Centre for Posttraumatic Mental Health. (2007). Australian guidelines for the treatment of adults with acute stress disorder and posttraumatic stress disorder. Retrieved from http://www.acpmh.unimelb.edu.au/resources/resources-guidelines.html#1.
Burrows, A. B., Morris, J. N., Simon, S. E., Hirdes, J. P., & Phillips, C. D. (2000). Development of a minimum data set-based depression rating scale for use in nursing homes. Age and Aging, 29(2), 165–172. Retrieved from http://www.ageing.oxfordjournals.org/cgi/reprint/29/2/165.
Cusack, K. J., Frueh, C. B., & Brady, K. T. (2004). Trauma history screening in a community mental health center. Psychiatric Services, 55(2), 157–162. Retrieved from http://www.psychservices.psychiatryonline.org/cgi/reprint/55/2/157.
Frueh, C. B., Grubaugh, A. L., Cusack, K. J., & Elhai, J. D. (2009). Disseminating evidence-based practices for adults with PTSD and severe mental illness in public-sector mental health agencies. Behaviour Modification, 33(1), 66–81. doi:10.1177/0145445508322619.View Article
Gibbons, C., Dubois, S., Ross, S., Parker, B., Morris, K., Lim, T., et al. (2008). Using the resident assessment instrument-mental health to determine levels of care for individuals with serious mental illness. Journal of Behavioural Health Services and Research, 35(1), 60–70. doi:10.1007/s11414-007-9088-9.View Article
Hirdes, J. P., Prendergast, P., Smith, T. F., Morris, J. N., Rabinowitz, T., Ikegami, N., Yamauchi, K., Phillips, C. D., Perez, E., Fries, B. E., & Curtin Telegdi, N. (2002). The resident assessment instrument-mental health (RAI-MH): Inter-rater reliability and convergent validity. Journal of Behavioral Health Services and Research, 29(4), 419–432. Retrieved from http://www.springerlink.com/content/y0r573v70q611h84/fulltext.pdf.
Keane, T. M., & Wolfe, J. (2006). Comorbidity in post-traumatic stress disorder: An analysis of community and clinical studies. Journal of Applied Social Psychology, 20(21), 1776–1788. doi:10.1111/j.1559-1816.1990.tb01511.x.View Article
Martin, L., Poss, J. W., Hirdes, J. P., Jones, R. N., Stones, M. J., & Fries, B. E. (2008). Predictors of a new depression diagnosis among older adults admitted to complex continuing care: Implications for the depression rating scale (DRS). Age and Ageing, 37(1), 51–56. doi:10.1093/ageing/afm162.View ArticlePubMed
Martin, L., Hirdes, J. P., Morris, J. N., Montague, P., Rabinowitz, T., & Fries, B. (2009). Validating the mental health assessment protocols (MHAPs) in the resident assessment instrument mental health (RAI-MH). Journal of Psychiatric and Mental Health Nursing. doi: 10.1111/j.1365-2850.2009.01429.x.
Morris, J. N., Fries, B. E., Mehr, D. R., Hawes, C., Phillips, C. D., & Mor, V. (1994). MDS cognitive performance scale. Journal of Gerontology: Medical Sciences, 49A(4), M174–M182. doi:10.1093/geronj/49.4.M174.
Mueser, K. T., Trumbetta, S. L., Rosenberg, S. D., Vidaver, R., Goodman, L. B., Osher, F. C. & Auciello, P. (1998). Trauma and posttraumatic stress disorder in severe mental illness. Journal of Consulting and Clinical Psychology, 66(3), 493–499. Retrieved from http://www.journals2.scholarsportal.info/tmp/15917640171097736434.pdf.
National Institute for Clinical Excellence (NICE). (2005). Post-traumatic stress disorder (PTSD): The management of PTSD in adults and children in primary and secondary care (Clinical Guideline 26). Retrieved from http://www.nice.org.uk/nicemedia/pdf/CG026NICEguideline.pdf.
Stern, T. A., Rosenbaum, J. F., Fava, M., Biederman, J., & Rauch, S. L. (2008). Massachusetts general hospital comprehensive clinical psychiatry. New York, NY: Mosby Elsevier.
Tucker, W. M. (2002). How to include the trauma history in the diagnosis and treatment of psychiatric inpatients. Psychiatric Quarterly, 73(2), 135–144. Retrieved from http://www.springerlink.com/content/dkhmyg8211hj2gh3/fulltext.pdf.
Yehuda, R. (2002). Post-traumatic stress disorder. New England Journal of Medicine, 346, 106–114. Retrieved from http://www.content.nejm.org/cgi/reprint/346/2/108.pdf.

Title: A Care Planning Strategy for Traumatic Life Events in Community Mental Health and Inpatient Psychiatry Based on the InterRAI Assessment Instruments
Authors: Krista Mathias
J. P. Hirdes
D. Pittman
Publication date: 01-12-2010
Publisher: Springer US
Published in: Community Mental Health Journal / Issue 6/2010
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI: https://doi.org/10.1007/s10597-010-9308-2

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A Care Planning Strategy for Traumatic Life Events in Community Mental Health and Inpatient Psychiatry Based on the InterRAI Assessment Instruments

Abstract

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Abstract

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