TY - JOUR
AU - L. Rynar
AU - J. Kaplan
AU - P. Fank
A1 - 
AB - PURPOSE: Best practice regarding screening for cancer-related distress includes timely follow-up with psychosocial services to address identified needs. Cancer centers frequently struggle to identify distress via systematized, low-burden workflows and link patients to high-quality, evidenced-based care. Models of psychological and psychiatric consultation can address several known challenges of attending to patient and provider need and can be designed with varying resources and levels of integration. Consultation can be offered in inpatient and outpatient settings and function independently or within existing supportive care departments. METHODS: This review summarizes four models of consultation including 1) inpatient psychological consultation, 2) outpatient psychological consultation, 3) integrated and tiered psychiatric consultation, and 4) integration of behavioral health providers into subspecialty teams. We present data on utilization of each model, as well as patient clinical outcomes and satisfaction measures and provider satisfaction. RESULTS: Consultation models are utilized and offer an effective approach to optimizing timely and accessible care. Utilizing this model of care between July 2020 and June 2021, we managed more than 1200 inpatient referrals for consultation and responded to more than 1600 outpatients with positive distress screens. Programs should consider strengths and limitations of implementing consultation models, with an emphasis on available staffing and institutional investment in supportive care for cancer survivors.
AD - Supportive Oncology, Rush MD Anderson Cancer Center, 1725 W Harrison Street, Suite 950, Chicago, IL, 60612, USA. lauren_rynar@rush.edu.; Supportive Oncology, Rush MD Anderson Cancer Center, 1725 W Harrison Street, Suite 950, Chicago, IL, 60612, USA.
AN - 40266385
BT - Support Care Cancer
C5 - Healthcare Disparities; Medically Unexplained Symptoms
CP - 5
DA - Apr 23
DO - 10.1007/s00520-025-09418-5
DP - NLM
ET - 20250423
IS - 5
JF - Support Care Cancer
LA - eng
N2 - PURPOSE: Best practice regarding screening for cancer-related distress includes timely follow-up with psychosocial services to address identified needs. Cancer centers frequently struggle to identify distress via systematized, low-burden workflows and link patients to high-quality, evidenced-based care. Models of psychological and psychiatric consultation can address several known challenges of attending to patient and provider need and can be designed with varying resources and levels of integration. Consultation can be offered in inpatient and outpatient settings and function independently or within existing supportive care departments. METHODS: This review summarizes four models of consultation including 1) inpatient psychological consultation, 2) outpatient psychological consultation, 3) integrated and tiered psychiatric consultation, and 4) integration of behavioral health providers into subspecialty teams. We present data on utilization of each model, as well as patient clinical outcomes and satisfaction measures and provider satisfaction. RESULTS: Consultation models are utilized and offer an effective approach to optimizing timely and accessible care. Utilizing this model of care between July 2020 and June 2021, we managed more than 1200 inpatient referrals for consultation and responded to more than 1600 outpatients with positive distress screens. Programs should consider strengths and limitations of implementing consultation models, with an emphasis on available staffing and institutional investment in supportive care for cancer survivors.
PY - 2025
SN - 0941-4355
SP - 407
ST - Consultation models in psychosocial oncology
T1 - Consultation models in psychosocial oncology
T2 - Support Care Cancer
TI - Consultation models in psychosocial oncology
U1 - Healthcare Disparities; Medically Unexplained Symptoms
U3 - 10.1007/s00520-025-09418-5
VL - 33
VO - 0941-4355
Y1 - 2025
ER -