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Psychosocial care for children with haemophilia and their parents in the Netherlands
P F Limperg1,2,3, L Haverman1,2,3, M Beijlevelt2,3
1Psychosocial Department, Emma Children's Hospital, Academic Medical Centre (AMC), Amsterdam, The Netherlands.
Insights
Children with hemophilia face psychosocial challenges. This study details comprehensive psychosocial care, including monitoring, psychoeducation, and interventions, to improve their health-related quality of life and independence.
Area of Science:
- Pediatric Hematology
- Psychosocial Health
- Quality of Life Research
Background:
- Children with hemophilia (HW) experience higher risks of psychosocial problems compared to healthy peers.
- Psychosocial care is crucial for HW and their families, significantly impacting health and health-related quality of life (HRQOL).
Purpose of the Study:
- To describe the psychosocial care model implemented by the Hemophilia Comprehensive Care Centre (HCCC) at Emma Children's Hospital.
- To provide a framework for other institutions to organize and enhance psychosocial care for children with hemophilia.
Main Methods:
- Multidisciplinary team approach focusing on prevention of psychosocial issues and medical stress.
- Empowering children with hemophilia and their families with skills for independent living and high HRQOL.
- Utilizing tools like www.hetklikt.nu for HRQOL monitoring and screening.
Main Results:
- Core elements include HRQOL monitoring, psychoeducation (camps, school, parent meetings), and practical support (employment agency, educational facilities).
- Psychosocial interventions encompass group programs (On Track) and specific tests (Haemophilia Coping and Perception Test).
- Individualized care includes psychological counseling and referrals to specialized services.
Conclusions:
- Sharing this model can lead to more structured and consistent psychosocial care across global HCCCs.
- Standardization of psychosocial support has the potential to improve care processes and patient outcomes.
Introduction:
Children growing up with haemophilia are at greater risk for psychosocial problems than their healthy peers. Providing psychosocial care to children with haemophilia and their families is indispensable, since psychosocial factors can have a significant impact on health and health-related quality of life (HRQOL).
Aims:
Our aim was to give a description of psychosocial care provided by the multidisciplinary team of the Hemophilia Comprehensive Care Centre (HCCC) at the Emma Children's Hospital in Amsterdam, the Netherlands. With this overview, other caregivers and hospitals can benefit in organizing their psychosocial care for children with haemophilia.
Methods:
The focus of the psychosocial care provided by the multidisciplinary team is on preventing psychosocial problems and medical-related stress, and supporting and equipping the child with haemophilia and its parents with as many skills as possible to lead an independent life with a high HRQOL.
Results:
Core elements of the psychosocial care are therefore monitoring and screening of HRQOL (e.g. in daily clinical practice via www.hetklikt.nu), psychoeducation (haemophilia camp, haemophilia school, disease-specific activities, meetings for girls, parent meetings), practical help (Emma at Work, an employment agency for adolescents and young adults; Educational Facility and school visits), psychosocial interventions (the On Track group intervention and the Haemophilia Coping and Perception Test) and individual care (psychological counselling and referrals).
Conclusion:
By providing this overview of psychosocial support offered and by sharing this knowledge, psychosocial care can become more structured and consistent between HCCCs around the world. Potentially, processes and outcomes of care can be improved.
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