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Participants included 14 violently injured patients admitted to a Level 1 trauma center (<jats:italic>M<\/jats:italic><jats:sub>age<\/jats:sub> = 28 years, 92.8% Black, 92.8% male) and eight of their caregivers (<jats:italic>M<\/jats:italic><jats:sub>age<\/jats:sub> = 44 years, 100.0% Black, 100.0% female). Semistructured interviews were audio\u2010recorded, transcribed, and deidentified. A team of three coders analyzed the data using thematic analysis. Results indicated that desired in\u2010hospital services included social and emotional support, financial support, and support for caregivers. Desired postdischarge services included financial support and services to promote physical and emotional recovery. Patients often mentioned needing mental health services for their caregivers, whereas caregivers frequently discussed the need for financial assistance and services to support patients\u2019 physical recovery after discharge. Common facilitators for engaging in mental health treatment included support from hospital staff, family, and friends in navigating mental health service systems. Reported barriers to engaging in mental health services were a lack of readiness and limited resources. The findings highlight the critical need to integrate comprehensive care programs within trauma centers to support violently injured patients and their caregivers, reduce barriers to postinjury mental health care, and enhance access to mental health treatment.<\/jats:p>","DOI":"10.1002\/jts.23152","type":"journal-article","created":{"date-parts":[[2025,4,14]],"date-time":"2025-04-14T12:04:21Z","timestamp":1744632261000},"page":"671-681","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Barriers and facilitators to engagement in a stepped\u2010care mental health service among violently injured patients and their caregivers"],"prefix":"10.1002","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1314-9851","authenticated-orcid":false,"given":"Kelly E.","family":"O'Connor","sequence":"first","affiliation":[{"name":"Department of Surgery Virginia Commonwealth University  Richmond Virginia USA"},{"name":"Department of Psychology Virginia Commonwealth University  Richmond Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theresa","family":"Skojec","sequence":"additional","affiliation":[{"name":"College of Nursing Medical University of South Carolina  Charleston South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannah C.","family":"Espeleta","sequence":"additional","affiliation":[{"name":"College of Nursing Medical University of South Carolina  Charleston South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashley","family":"Hink","sequence":"additional","affiliation":[{"name":"Department of Surgery Medical University of South Carolina  Charleston South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leigh E.","family":"Ridings","sequence":"additional","affiliation":[{"name":"College of Nursing Medical University of South Carolina  Charleston South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bethany","family":"Halter","sequence":"additional","affiliation":[{"name":"College of Nursing Medical University of South Carolina  Charleston South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth J.","family":"Ruggiero","sequence":"additional","affiliation":[{"name":"College of Nursing Medical University of South Carolina  Charleston South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatiana M.","family":"Davidson","sequence":"additional","affiliation":[{"name":"College of Nursing Medical University of South Carolina  Charleston South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,4,14]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e31821e0c86"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40719\u2010017\u20100084\u20100"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.5005\/jp\u2010journals\u201010030\u20101443"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1086\/725432"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2007.113639"},{"key":"e_1_2_8_7_1","unstructured":"American College of Surgeons Committee on Trauma. (2022).Resources for optimal care of the injured patient.https:\/\/www.facs.org\/quality\u2010programs\/trauma\/quality\/verification\u2010review\u2010and\u2010consultation\u2010program\/standards\/"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000003604"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475\u20106773.2006.00684.x"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2018.0170"},{"key":"e_1_2_8_11_1","unstructured":"Centers for Disease Control and Prevention. (2024).WISQARS nonfatal injury reports.https:\/\/wisqars.cdc.gov\/nonfatal\u2010reports"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2015.03.086"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291714000129"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/XCS.0000000000000862"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.21m14116"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2021.06.016"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2023.110922"},{"key":"e_1_2_8_18_1","unstructured":"Everytown for Gun Safety Support Fund. 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