TY - JOUR
T1 - Current Practices and Beliefs Regarding Screening Patients with Burns for Acute Stress Disorder and Posttraumatic Stress Disorder
T2 - A Survey of the American Burn Association Membership
AU - Smith, Mallory B.
AU - Wiechman, Shelley A.
AU - Mandell, Samuel P.
AU - Gibran, Nicole S.
AU - Vavilala, Monica S.
AU - Rivara, Frederick P.
N1 - Publisher Copyright:
© 2021 by the authors.
PY - 2021/12
Y1 - 2021/12
N2 - Stress disorders are common after burn injuries and universal screening is recommended. This study describes current screening practices and provider beliefs regarding screening for stress disorders in patients with burns in the US. This was a 31-question survey distributed to the American Burn Association. Sixty-two percent of 121 respondents indicated their institution formally screened for ASD and/or PTSD. The most common reason for not screening was a lack of mental healthcare providers (46%), lack of funding (26%) and lack of time (20%). The timing of screening, the person administering the screening, and the method of screening varied for both pediatric and adult patients. Most respondents (87%) believed screening should be a standard of care, but only 32% were comfortable screening pediatric patients and 62% were comfortable screening adults. While screening for ASD and PTSD is recommended for patients with burns, our study indicates that screening is not a current standard of care. Lack of mental healthcare providers, funding, and time are contributing factors. Among those institutions that screen, a uniform screening practice does not exist.
AB - Stress disorders are common after burn injuries and universal screening is recommended. This study describes current screening practices and provider beliefs regarding screening for stress disorders in patients with burns in the US. This was a 31-question survey distributed to the American Burn Association. Sixty-two percent of 121 respondents indicated their institution formally screened for ASD and/or PTSD. The most common reason for not screening was a lack of mental healthcare providers (46%), lack of funding (26%) and lack of time (20%). The timing of screening, the person administering the screening, and the method of screening varied for both pediatric and adult patients. Most respondents (87%) believed screening should be a standard of care, but only 32% were comfortable screening pediatric patients and 62% were comfortable screening adults. While screening for ASD and PTSD is recommended for patients with burns, our study indicates that screening is not a current standard of care. Lack of mental healthcare providers, funding, and time are contributing factors. Among those institutions that screen, a uniform screening practice does not exist.
KW - acute stress disorder
KW - burn
KW - posttraumatic stress disorder
KW - psychological screening
UR - http://www.scopus.com/inward/record.url?scp=85140792496&partnerID=8YFLogxK
U2 - 10.3390/ebj2040016
DO - 10.3390/ebj2040016
M3 - Article
AN - SCOPUS:85140792496
SN - 2673-1991
VL - 2
SP - 215
EP - 225
JO - European Burn Journal
JF - European Burn Journal
IS - 4
ER -