Mental health resources for orthopaedic trauma patient care: a survey of orthopaedic trauma association members.

Abstract

Limited attention in prior work has been placed on delivery of mental health care to patients with orthopaedic trauma. The purpose of this project was to describe current attitudes regarding the importance of mental healthcare and assess the availability of mental health resources for patients with orthopaedic trauma. A 16-item web-based questionnaire was advertised to members of the Orthopaedic Trauma Association (OTA/AO). This cross-sectional survey evaluated current practice patterns, perceived need, and access to mental health resources. One hundred twenty-four OTA/AO members completed the survey, 98% of whom believe mental health resources are needed for patients. Yet, 71% never or rarely take a mental health history from new patients with trauma. Eighty-six respondents (69%) have access to mental health resources for their patients, either within or external to their hospital system, but only 48% have access regardless of health insurance status. Psychiatry (n = 72, 87%) and psychology (n = 55, 66%) were most accessible. Surgeons with access to mental healthcare report positive impact on their patients' recovery (6.6/10, where 10 is most positive), while surgeons without access to mental health care report this has been detrimental to their patients' recovery (7.3/10). Nearly all OTA/AO members feel that access to mental health resources is paramount, but few surgeons consistently obtain a mental health history. Mental health resources are reportedly largely available for patients with orthopaedic trauma. These resources are predominately limited to psychiatry and psychology referrals, with a paucity of other support services including peer mentors and online communities. Therapeutic Level V.