Identifying who to screen | Use trauma registry Use a standard approach Clearly defined protocol for positive screens Include flexibility for clinical judgement Make screening unit based Consider treatment trajectory |
Timing of screening | Integrate into existing systems (eg, admission navigator, flow sheet, discharge protocol) Use existing continuity of care methods (eg, nursing postdischarge follow-up call) |
Time burden | Delegate to non-physician staff Use brief measurements Integrate into existing systems Work with database managers to streamline data entry Develop full-time position to coordinate screening |
Patient engagement | Staff education Informational meetings for patients’ families Embed in larger psychosocial assessment |
Lack of established relationship with mental health services | Identify existing mental health services (eg, consultation-liaison, social work, case management) Engage existing mental health services in implementation planning process Develop a full-time mental health position integrated into the service |