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Jun 18, 2019

MASCC/ISOO Annual Meeting on Supportive Care in Cancer

02 - THE NURSE PRACTITIONER-THERAPIST AND THE INTERNIST-PSYCHIATRIST: A NOVEL CO-LOCATED PSYCHO-ONCOLOGIC CARE DELIVERY MODEL

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care delivery model

therapeutic alliance

care coordination

caregiver distress

psycho-oncology

Abstract

Abstract

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Keywords

care delivery model

therapeutic alliance

care coordination

caregiver distress

psycho-oncology

Abstract

Introduction: Given the prevalence of psychosocial distress in patients with cancer, screening and referral to psychosocial oncology services is advised and may be enforced. While the collaborative care model has demonstrated strong evidence, there are numerous care delivery models, secondary to institutional variability and the vast scope of expertise and practice of psychosocial care providers. We present a novel care delivery model delivered by a dually trained internist-psychiatrist and an oncologic nurse practitioner with certification in marriage and family therapy. We demonstrate the breadth and depth of psychosocial needs that are both explored and managed effectively to highlight the importance of attending to the developmental stages of individuals with cancers, caregiver distress, and indications for psychopharmacology. Methods: We present 10 cases with variable demographics, cancer diagnoses and treatments, and psychiatric distress symptoms. Each of these participants was encountered by the aforementioned providers at different time-points. Outcomes were measured using screening tools, therapeutic alliance scales, patient testimonials, and provider satisfaction. Results: We demonstrate the positive outcomes of patients receiving psychosocial care from providers with knowledge and understanding of the disease process and also expertise in therapy practices and prescribing. We describe the benefits of working collaboratively in a co-located setting and optimizing the internal relationships to facilitate the care of our patients with cancer. Conclusions: We conclude that patients, caregivers and providers benefit from a model of care that includes a range of professional expertise while also providing focused, well-coordinated, effective psycho-oncologic interventions.

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© Copyright 2019 Morressier GmbH.
All rights reserved.