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Table 2 Reasons for Grady TRC service exclusion (n = 3,271 instances of seeking medical care)

From: Integrating a trauma recovery center into an urban hospital setting serving multiply marginalized patients in the Southeastern United States

Variable

n

%

Referral Source

 Hospital admission (Emergency Department Track Board)

1262

38.6

 Provider consultation orders in the EHR

773

23.6

 Internal partners within the hospital system

242

7.5

 External community partners

33

1.0

 Referral source data unavailable due to changes in data collection procedures

961

29.4

Eligibility Screening

3271

 

 Cases Ineligible for TRC services

1538

47.0

  Address outside of Fulton/DeKalb counties

1138

59.6

  Lack of exposure to a violent crime in past three years

601

31.5

  Needed higher level of care

119

6.2

  Chart lacked a source of trauma exposure

29

1.5

  Age younger than five years

21

1.1

 Cases Eligible for TRC services at Chart Review

1733

53.0

  Patient completed background interview*

432

 

   Patient interested in (and eligible for) both psychological and case management services

303

70.1

  Patient completed intake assessment

288

66.6

   Patient interested in full TRC model but difficulty contacting victim/service refusal

114

26.3

   Patient interested in full TRC model but services not required

8

1.9

   Patient interested in case management services only

4

0.9

   Patient interested in full TRC model but inability to meet victims’ needs

1

0.2

   Patient not interested in services

2

0.5

  Unable to be contacted after three attempts

409

23.6

  Refused services

355

20.5

  Placed outside of jurisdiction

82

4.7

  Did not attend appointment

74

4.3

  Already enrolled in other services

41

2.4

  Required care for serious mental illness

26

1.5

  Received TRC services but did not complete intake assessment

8

0.6

  Required care for substance use

6

0.3

  Later died

5

0.3

  Practical barriers

4

0.2

  Post-screening data unavailable due to changes in data collection procedures

430

24.8

  1. Full TRC model = psychological and case management services
  2. *Values within “Patient completed background interview” section reflect number of patients, not cases, so associated percentages reflect number of patients in each subcategory out of those who completed the background interview; Sample sizes do not always sum across groups, since some patients had more than one eligibility screener (i.e., multiple hospital admissions and cases), and more than one reason for ineligibility could be marked at the eligibility screening and background interview stages