CHW-Enhanced Trauma Recovery

Patients will provide standard demographic information, such as race/ethnicity; sex; insurance, marital, and socioeconomic status; educational attainment; and occupation.

The Kessler 6 (K6; Kessler et al., 2003) is a screening scale for nonspecific distress to discriminate cases of several mental illness. Items are rated on a 5-point Likert scale (1-5). Total scores range from 6-30 and are calculated as the sum of all item ratings, with a total score 13 indicating severe mental illness. This measure has been shown to have strong psychometric properties.

Injured Trauma Survivor Screen (ITSS; Hunt et al., 2018; 2018) is a 9-item measure used to assess risk for development of posttraumatic stress symptoms following injury. Items are rated yes=1 and no=0. If the sum of questions 1, 2, 3, 5, and 6 is equal to or greater than 2, the screen is positive for PTS risk. If the sum of questions 3, 4, 7, 8, and 9 is equal or greater than 2, the screen is positive for depression risk.

The AHC is a standardized 10-item instrument developed by the Centers for Medicare & Medicaid Services (CMS) to identify individuals' social needs across five key domains: housing instability, food insecurity, transportation, utility needs, and interpersonal safety. The tool has demonstrated strong feasibility, reliability, and content validity (Billioux et al., 2017) across clinical settings and populations, supporting its widespread use for screening and referral within healthcare systems.

The PTSD Checklist for DSM-5 (Weathers et al., 2013) is a self-report measure that assesses the extent to which participants are bothered by the DSM-5 PTSD symptoms. Each symptom is rated on a scale of 0 (not at all) to 4 (extremely).

Total scores are obtained by summing the scores of all items.

The Patient Health Questionnaire-8 (PHQ-8; Kroenke, Spitzer, & Williams, 2001) assesses the presence and frequency of 8 core depressive symptoms. Items are rated on a 4-point Likert scale (0-3). Total scores range from 0-27 and are calculated as the sum of all item ratings, with a total score of ≥ 10 indicating clinical significance.

The 10-item PROMIS General Life Satisfaction questionnaire (Salsman et al., 2014) measures one's perception of life experiences and whether one likes his/her life or not.

The 14-item measure that assesses the extent of a patient's engagement with mental health services across domains such as availability, collaboration, help-seeking, and medication adherence. The SES demonstrates strong psychometric properties (Tait et al., 2002), including high internal consistency (α ≈ .85-.90), good test-retest reliability, and established construct validity across clinical populations.

A 4-item validated measure assessing the perceived acceptability of an intervention among those delivering or receiving it (Weiner et al., 2017). Strong psychometric properties and excellent internal consistency (Cronbach's α = 0.85-0.91).

A 4-item validated measure assessing the perceived fit, relevance, and suitability of an intervention for a particular setting or population. Strong psychometric properties and excellent internal consistency (Cronbach's α = 0.85-0.91)

A 4-item validated measure assessing the extent to which an intervention is perceived as practical and implementable within a given setting. Strong psychometric properties and excellent internal consistency (Cronbach's α = 0.85-0.91).

The PROMIS Emotion and Instrumental Support (Hahn et al.,2014) measure assesses perceived feelings of being cared for and valued as a person; having confidant relationships and availability of assistance with material, cognitive or task performance.

This protocol includes 10 interviewer-administered questions from the National Health Interview Survey (NHIS) Adult Access to Health Care & Utilization Module (CDC, 2019) designed to assess when medical care was last sought, usual place of care, frequency of getting care and reasons for not getting care.

The NIDA Quick Screen (NIDA, 2010) is a validated instrument designed to assist providers in screening adults for substance use. The screen simply inquires whether a participant has used drugs (mood-altering, illegal, or prescription for nonmedical reasons), alcohol, or tobacco products within the past year and how often these substances have been used