TRAIL Clinic

Transforming Recovery After Injury for the Long-term

The United States has created an impressive and sustainable trauma system that excels at saving the lives of trauma victims but has failed to achieve comparable success in ensuring that survivors and their families receive the necessary care and support after leaving the trauma center. The Transforming Recovery After Injury for the Long-term (TRAIL) Clinic is a trauma collaborative care model developed in partnership between Brigham and Women’s Hospital and Spaulding Rehabilitation to address the unique needs of trauma survivors.

TRAIL Clinic Model

What is the TRAIL Clinic?

The TRAIL Clinic is a grant-supported, multidisciplinary pilot program for survivors of traumatic injury who are at highest risk for poorer long-term outcomes such as functional limitations, chronic pain and unemployment.

The clinic will draw from patients admitted to the Brigham Division of Trauma, Burn and Surgical Critical Care. Instead of receiving follow-up care in the standard trauma outpatient clinic, eligible patients will be diverted to the TRAIL Clinic. Core services will include trauma care, rehabilitation, psychosocial services, care coordination and community referrals.

TRAIL Clinic patients will receive a holistic health assessment. The interprofessional team will identify clinical and social needs, develop a collaborative care plan and discuss recovery goals. These assessments will be used to place referrals to community programs. Navigation services will be provided to address any identified barriers to accessing those programs. With a minimum of three TRAIL Clinic visits in the first six months post-discharge, this model offers a longitudinal approach to better match the longitudinal impacts of traumatic injury.

TRAIL Clinic Wheel

TRAIL Clinic Leaders

Eligibility for the TRAIL Clinic

To attend the TRAIL Clinic, candidates must meet the following requirements:

  • Admitted to the Brigham general surgery trauma service for traumatic injury
  • Must 18 years of age or older
  • Increased risk for poor long-term outcomes:
    • Injuries resulting from interpersonal violence
      OR two of the following:
      • Limited English proficiency
      • Weak social support network
      • Low perceived socioeconomic status

How will the TRAIL Clinic be staffed?

  • Patient Service Navigator (PSN)
  • Advanced Practice Provider (APP)
  • Community Health Worker (CHW)
  • Licensed Social Worker (SW)
  • Physical Therapist (PT)
  • Occupational Therapist (OT)
  • Trauma Surgeon (MD)
  • Physiatrist
  • Psychiatrist
  • Violence Recovery Specialist
  • Community Organizations / Peer Support Representatives
  • Clinic Manager

Referrals to the TRAIL Clinic

During the pilot phase, eligible patients will be identified by inpatient staff at Brigham and Women’s Hospital. The TRAIL Clinic is not open to external referrals at this time.

Clinic Details

BWH Medical Specialties (BMS)
45 Francis Street
Boston, MA 02115

Second and Fourth Fridays of each month
8 am – 12 noon
Beginning April 26, 2024, with enrollment starting April 12

The 45 Francis Street entrance of Brigham and Women's Hospital has valet services, a parking garage and elevator access to the BMS offices.

For questions or additional information about the TRAIL Clinic, email

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