Training psychiatrists and psychologists in psycho-oncology Book Section
| Authors: | Roth, A. J.; Hoge, M. A. |
| Editors: | Holland, J. C.; Breitbart, W. S.; Jacobsen, P. B.; Lederberg, M. S.; Loscalzo, M. J.; MccorKle, R. S. |
| Article/Chapter Title: | Training psychiatrists and psychologists in psycho-oncology |
| Abstract: | (from the chapter) The practice, understanding and art of psycho-oncology have grown over the past 35 years. As a multidisciplinary and blended field, contributions and seminal observations have come from oncology, medicine, psychiatry, psychology, nursing, social work, palliative care, ethics, and chaplaincy. The recent report by the Institute of Medicine, "Cancer Care for the Whole Patient" highlighted the psychosocial needs of cancer patients and survivors and the trained workforce necessary to assure they are met. Despite the wide gap between patient's psychosocial needs and available services, there remains a limited number of training opportunities for the disciplines which comprise psycho-oncology. The care of oncology patients has shifted rapidly to ambulatory care settings over the last 10 years, due to more treatments being delivered at home and an increased emphasis on cost saving. The training of psychologists and psychiatrists in psycho-oncology, primarily conducted on inpatient units in the past, increasingly now focus on the ambulatory setting. This leads to greater training needs in management of treatment side effects, fatigue, pain, anxiety, and depressive symptoms. There is also new attention to survivors' health and well being, as well as patients receiving palliative and end-of-life care. Training must also address the needs of caregivers who give far more medical and psychosocial support today than ever before, while carrying the usual burden of family and work obligations. Considerable challenges exist in the development of optimal ambulatory psychosocial programs which interact with community advocacy organizations. The economic realities that confront psycho-oncologists in the twenty- first century are formidable, despite the recent passage of the Mental Health Parity Act. Training is strongly hampered by inadequate support and reimbursement for psychosocial services. This chapter describes the present status of training programs for psychiatrists and psychologists, the need for change, and the challenges we face in assembling a trained work force to meet the mandate of the Institute of Medicine Report. The report states that "to give quality cancer care today, the psychosocial must be integrated into routine cancer care." (PsycINFO Database Record (c) 2011 APA, all rights reserved). |
| Keywords: | psycho-oncology; training programs; psychologists; psychiatrists |
| Book Title: | Psycho-Oncology. 2nd ed |
| ISBN: | 978-0-19-536743-0 |
| Publisher: | Oxford University Press |
| Publication Place: | Oxford, UK |
| Date Published: | 2010-01-01 |
| Start Page: | 582 |
| End Page: | 587 |
| Language: | English |
| PROVIDER: | Ovid Technologies |
| ACCESSION: | Book: 2010-06876-083 |
| PROVIDER: | psycinfo |
| DOI/URL: | |
| Notes: | Book Chapter: 83 -- "Source: PsycINFO" |
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