X hits on this document

148 views

0 shares

0 downloads

0 comments

17 / 52

The NICE Guidance1 outlines the following four-level model of professional psychological assessment and intervention, which should be developed and implemented in each Cancer Network (see Figure 1).

Figure 1 : Recommended model of professional psychological assessment

and support

Level

Group

Assessment

Intervention

1

All health and social care professionals

Recognition of psychological needs

Effective information giving,

Compassionate communication and general psychological support

2

Health and social care professionals with additional expertise

Screening for psychological distress

Psychological techniques such as problem solving

3

Trained and accredited professionals

Assessed for psychological distress and diagnosis of some psychopathology

Counselling and specific psychological intervention such as anxiety management and solution-focused therapy, delivered according to an explicit theoretical framework

4

Mental health specialists

Diagnosis of psychopathology

Specialist psychological and psychiatric intervention such as psychotherapy, including cognitive behavioural therapy CBT

It recommends that psychological support at Levels 1 and 2 should, in the first instance, be provided by health and social care professionals directly responsible for the care of people with cancer (and any life threatening illness irrespective of diagnosis).More severe psychological distress (Levels 3 and 4) should be managed by a variety of psychological specialists, including counsellors, mental health nurses, clinical and health psychologists, psychotherapists and liaison psychiatrists.

Whilst some attempts have been made to develop psychological support at all levels locally, the picture that emerges is that effective psychological support heavily relies on the multi-disciplinary supportive and palliative care teams and Chaplains across the care settings.  

17

Document info
Document views148
Page views148
Page last viewedFri Dec 09 06:32:40 UTC 2016
Pages52
Paragraphs1737
Words14579

Comments