PERCEIVED MENTAL HEALTH AND NEEDS FOR MENTAL HEALTH SERVICES FOLLOWING TRAUMA WITH AND WITHOUT BRAIN INJURY

Objectives: To compare self-reported mental health in trauma survivors with and without brain injury; to describe factors associated with lower mental health; and to compare needs in terms of mental health services and perceived access limitations to such services. Design: Cross-sectional community survey. Patients: A total of 405 trauma survivors (239 with traumatic brain injury and 166 without) interviewed 2-4 years post-injury. Methods: Short Form-12 mental health scales and a survey measuring perceived needs for mental health services, and access limitations. Results: Injury survivors with and without traumatic brain injury are similarly affected on subjective reports of global mental health, vitality, role changes, and social functioning except for cognitive complaints. Variables associated with lower mental health in trauma survivors include younger age, being a woman, shorter time since injury, higher pain, lower social support, and presence of cognitive problems. Although individuals with traumatic brain injury report slightly more mental health problems and more need for mental health services, proportionally to their needs, more individuals without traumatic brain injury report access limitations to mental health services. Conclusion: Mental health problems affect important proportions of trauma survivors, either with or without traumatic brain injury. More effort should be made to facilitate access to mental health services for all trauma survivors.