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Objectives:

To evaluate the impact of the Trauma Collaborative Care (TCC) program's early intervention components on 6-week outcomes. TCC was developed to improve psychosocial sequelae of orthopaedic trauma and includes the Trauma Survivors Network and additional collaborative care services.

Design:

Prospective, multicenter, cluster clinical trial.

Setting:

Level I Trauma Centers.

Patients:

Individuals with high-energy orthopaedic injuries requiring surgery and hospital admission: 413 patients at 6 trauma centers implementing the TCC program and 374 patients at 6 trauma centers receiving usual care.

Intervention:

TCC early intervention: patient education, peer visits, and coaching calls.

Main Outcome Measurements:

Pain rating scale, Patient Health Questionnaire—9 depression, Post-Traumatic Stress Disorder Checklist, and self-efficacy for return to work and managing finances. For each outcome, a hybrid …