When a foreign adolescent orphan refuses to be treated: Considerations on a clinical case

Area of Science:

• Pediatric Oncology
• Child Psychiatry
• Medical Sociology

Background:

• Unaccompanied foreign minors present unique challenges in medical treatment adherence.
• Neoplasm treatment in this population is complicated by potential non-compliance and behavioral issues.

Purpose of the Study:

• To describe the multidisciplinary approach required for treating a non-compliant unaccompanied foreign minor with a neoplasm.
• To outline essential assessments and actions for managing similar cases.

Main Methods:

• Case report of a 13-year-old boy from Sub-Saharan Africa treated for neoplasm in Italy.
• Involvement of psychological, psychiatric, and social support services.
• Adaptation of treatment plans based on patient cooperation.

Main Results:

• The patient exhibited oppositional, aggressive, and self-harming behaviors.
• Multidisciplinary interventions were necessary to manage the patient's complex needs.
• Treatment required flexibility to accommodate the patient's willingness and ability to cooperate.

Conclusions:

• Effective management of non-compliant unaccompanied foreign minors with neoplasms necessitates a comprehensive, adaptive, and resource-intensive approach.
• Economic and organizational planning is crucial for successful international medical care schemes for these vulnerable children.