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Consultation models in psychosocial oncology
Lauren Rynar1, Jonathan Kaplan2, Patricia Fank2
1Supportive Oncology, Rush MD Anderson Cancer Center, 1725 W Harrison Street, Suite 950, Chicago, IL, 60612, USA. lauren_rynar@rush.edu.
Summary
Psychological and psychiatric consultation models improve cancer care by addressing patient distress. These models offer effective, timely, and accessible psychosocial support, enhancing patient and provider satisfaction.
Area of Science:
- Oncology
- Psychiatry
- Psychology
- Healthcare Management
Background:
- Screening for cancer-related distress requires timely psychosocial follow-up.
- Cancer centers face challenges in identifying distress and linking patients to evidence-based care.
- Psychological and psychiatric consultation models offer adaptable solutions for patient and provider needs.
Purpose of the Study:
- To review and present data on four consultation models for addressing cancer-related distress.
- To evaluate the utilization, patient outcomes, and satisfaction associated with these models.
- To inform the implementation of effective supportive care strategies in cancer centers.
Main Methods:
- Review of four consultation models: inpatient psychological, outpatient psychological, integrated/tiered psychiatric, and integrated behavioral health into subspecialty teams.
- Presentation of utilization data, patient clinical outcomes, and patient/provider satisfaction measures.
- Analysis of model strengths and limitations for implementation.
Main Results:
- Consultation models are effective in optimizing timely and accessible cancer care.
- Over 1200 inpatient referrals and over 1600 outpatient distress screens were managed between July 2020 and June 2021.
- Successful utilization demonstrates the viability of these models in practice.
Conclusions:
- Consultation models provide an effective approach to managing cancer-related distress.
- Implementation success depends on staffing and institutional investment in supportive care.
- These models enhance the delivery of psychosocial services for cancer survivors.
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