A Deployment Focused Pragmatic Trial of Optimal Stepped Care Intervention Targeting PTSD and Comorbidity for Acutely Hospitalized Injury Survivors Treated in US Trauma Care Systems

Inclusion Criteria: * Injured patients ≥18 years of age * Meet ≥ 3 of 10 risk domain criteria in electronic health records (EHR) screen * Score of ≥ 30 on DSM-5 PTSD Checklist (PCL) score or score of ≥ 35 on DSM-IV PTSD Checklist (PCL) . * Speak English and/or Spanish Exclusion Criteria: * Age \<18 * Not admitted for a traumatic injury * Speak a language other than English and/or Spanish * Acutely suicidal/admitted for a suicide attempt * Cognitively impaired * Incarcerated * Acutely psychotic * Not a resident of Washington, California, Alaska, Oregon, Idaho, Montana, or Nevada * Less than 2 pieces of contact information * Prior history of violence, such that study staff may not be safe * Patient with overwhelming psychiatric distress and not advisable/will not tolerate randomization to control condition * Most recent COVID-19 test positive