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Cancer Screening in Behavioral Health Care Programs
Lois Rockson1, Margaret Swarbrick2, Carlos Pratt3
1Lois Rockson, MPH, MAEd, SCT (ASCP), Rutgers University, Newark, NJ, USA.
Adults with serious mental illnesses (SMI) have lower cancer screening rates, particularly for colorectal cancer. Lack of physician recommendation is a key barrier, highlighting the need for improved access and support for these vital health services.
Area of Science:
- Public Health
- Oncology
- Psychiatry
Background:
- Serious mental illnesses (SMI) are associated with reduced life expectancy due to factors like metabolic disorders and cancer.
- Early cancer screening improves survival rates and decreases morbidity.
- Access to cancer screening services for individuals with SMI is a critical public health concern.
Purpose of the Study:
- To examine access to cervical, breast, and colorectal cancer screening services.
- To identify barriers to cancer screening utilization among adults with SMI in a partial hospitalization program.
Main Methods:
- A survey was administered to 136 adults attending partial hospitalization programs.
- The survey included questions on cancer screening utilization, access, and barriers.
- Data were collected using paper-and-pencil questionnaires.
Main Results:
- Cervical and breast cancer screening rates were higher than national averages.
- Colorectal cancer screening rates were lower than national averages.
- The primary barrier identified was the lack of physician recommendations for screenings.
Conclusions:
- Psychiatric nurses and behavioral health professionals can play a key role in promoting cancer screenings.
- Enhanced communication and support are needed to address disparities in cancer screening for individuals with SMI.
- Interventions should focus on increasing physician recommendations and patient education to improve screening rates.
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