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Benchmarks for Psychosocial Staffing in Pediatric Oncology: Implementing the Standards Together-Engaging Parents and

Michele A Scialla1, Lori Wiener2, Kimberly S Canter1,3

  • 1Nemours Children's Health, Wilmington, Delaware, USA.

Pediatric Blood & Cancer
|March 28, 2025
PubMed

Insights

Most pediatric cancer programs have psychosocial staff, but many lack the multidisciplinary teams needed for comprehensive care. Funding challenges persist, impacting the provision of evidence-based psychosocial support for children with cancer.

Area of Science:

  • Pediatric Oncology
  • Psychosocial Care
  • Healthcare Staffing

Background:

  • The Standards for the Psychosocial Care of Children with Cancer and their Families guide evidence-based care.
  • This study assesses psychosocial staffing 8 years after the Standards' publication.

Purpose of the Study:

  • To determine the number and type of psychosocial staff in US pediatric oncology programs in 2023.
  • To compare current staffing with 2016 data and identify challenges.

Main Methods:

  • An online survey of clinical leaders from 129 pediatric oncology programs.
  • Data collected on psychosocial staff numbers, types, and reported challenges.

Main Results:

  • Social workers (97.2%) and child life specialists (92.5%) are common.
  • Psychologists (69.2%), neuropsychologists (39.3%), and psychiatrists (15.0%) are less prevalent.
  • A modest increase in staff numbers and types observed since 2016, with funding as a consistent challenge.

Conclusions:

  • Most programs have some psychosocial staff, but team size and breadth are often insufficient.
  • Full implementation of the Standards requires larger, more comprehensive multidisciplinary teams.
Abstract

Keywords:
benchmarkpediatric oncologypsychosocialstandards of care

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