{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T18:13:40Z","timestamp":1779387220845,"version":"3.53.1"},"reference-count":32,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,2,13]],"date-time":"2022-02-13T00:00:00Z","timestamp":1644710400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Public Health Nursing"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Post\u2010traumatic stress disorder (PTSD) is a significant public health problem especially among first responders who are routinely exposed to traumatic events. First responders in rural areas are faced with additional stressors. The purpose of this quality improvement program was to implement PTSD screening for first responders at a primary care concierge clinic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Implementation of PTSD screening program among first responders was conducted from October to December 2020, using the PTSD Checklist for DSM\u20105 with Life Events Checklist for DSM\u20105 and Criterion A (PCL\u20105 with LEC\u20105 and Criterion A).<\/jats:p><\/jats:sec><jats:sec><jats:title>Sample<\/jats:title><jats:p>First responders who visited the clinic during program implementation period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Outcomes<\/jats:title><jats:p>Numbers of PTSD screening, positive screening, positive PTSD symptoms, and referral.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thirty\u2010four first responders completed the PTSD screening. 23.5% (<jats:italic>n<\/jats:italic>\u00a0=\u00a08) of first responders were screened positive. Almost 80% of first responders reported experiencing at least one PSTD symptom (<jats:italic>n<\/jats:italic>\u00a0=\u00a027). Six of the eight screened positive first responders (75%) received a referral.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The standardized PTSD screening protocol utilizing PCL\u20105 was effective to identify first responders with PTSD. It can be integrated into the workflow of a primary care concierge clinic and help improving PTSD assessment in first responders and initiated referrals.<\/jats:p><\/jats:sec>","DOI":"10.1111\/phn.13058","type":"journal-article","created":{"date-parts":[[2022,2,13]],"date-time":"2022-02-13T12:57:45Z","timestamp":1644757065000},"page":"788-796","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Implementing a post\u2010traumatic stress disorder screening for first responders in rural area"],"prefix":"10.1111","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8123-9459","authenticated-orcid":false,"given":"Tak Yee","family":"Leung","sequence":"first","affiliation":[{"name":"Advance Practice Provider US Acute Care Solutions LLC\/St. Catherine Hospital Garden City KS"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiuhua","family":"Shen","sequence":"additional","affiliation":[{"name":"School of Nursing University of Kansas Medical Center Kansas City KS"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,2,13]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2014.10.012"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-011-0408-2"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.22059"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1037\/pas0000254"},{"issue":"3","key":"e_1_2_10_7_1","first-page":"59","article-title":"Understanding the impact of trauma","volume":"57","author":"Center for Substance Abuse Treatment","year":"2014","journal-title":"Trauma\u2010Informed Care in Behavioral Health Services"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2017.09.022"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.22446"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/jrh.12017"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00127\u2010016\u20101208\u20105"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2018.02793"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-018-1839-z"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/1078390319871997"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnu.2018.06.007"},{"issue":"5","key":"e_1_2_10_16_1","first-page":"4","article-title":"Posttraumatic stress disorder: The burden to the individual and to society","volume":"61","author":"Kessler R. C.","year":"2000","journal-title":"Journal of Clinical Psychiatry"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.avb.2018.08.005"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/15325024.2017.1360589"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/HRP.0000000000000176"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1080\/20008198.2017.1375338"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/smi.2615"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.biopsych.2014.03.028"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/HCM.0000000000000088"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.94.10.1689"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2014.12.007"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/JOM.0000000000001732"},{"key":"e_1_2_10_27_1","unstructured":"Rural Health Information Hub. (2018).Rural emergency medical services (EMS) and trauma.https:\/\/www.ruralhealthinfo.org\/topics\/emergency\u2010medical\u2010services"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2015.08.007"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2015.12.002"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000002671"},{"key":"e_1_2_10_31_1","unstructured":"U.S. Department of Veterans Affair(2020).PTSD checklist for DSM\u20105 (PCL\u20105).PTSD: National Center for PTSD.https:\/\/www.ptsd.va.gov\/professional\/assessment\/adult\u2010sr\/ptsd\u2010checklist.asp#obtain"},{"issue":"3","key":"e_1_2_10_32_1","doi-asserted-by":"crossref","first-page":"e1579","DOI":"10.1002\/mpr.1579","article-title":"Screening for trauma\u2010related symptoms via a smartphone app: The validity of Smart Assessment on your Mobile in referred police officers","volume":"26","author":"Van Der Meer C. A.","year":"2017","journal-title":"International Journal of Methods in Psychiatric Research"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.1080\/20008198.2020.1753940"}],"container-title":["Public Health Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/phn.13058","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/phn.13058","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/phn.13058","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,17]],"date-time":"2023-11-17T11:48:23Z","timestamp":1700221703000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/phn.13058"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,2,13]]},"references-count":32,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022,7]]}},"alternative-id":["10.1111\/phn.13058"],"URL":"https:\/\/doi.org\/10.1111\/phn.13058","archive":["Portico"],"relation":{},"ISSN":["0737-1209","1525-1446"],"issn-type":[{"value":"0737-1209","type":"print"},{"value":"1525-1446","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,2,13]]},"assertion":[{"value":"2021-09-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-01-19","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-02-13","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}