Barriers to cancer care for people with significant mental health difficulties: What healthcare staff say?. Issue 12 (28th August 2021)

• Record Type: Journal Article
• Authors: D'Alton, Paul; O'Meara, Rachel; Langford, Seán; McDonnell, Zoe; Nuzum, Ann; Murthy, Varsha Eswara; Craddock, Fiona; Cogley, Clodagh; McCormack, Derval
• Other Names: Grassi Luigi guestEditor.; Riba Michelle guestEditor.
• Is Part Of: Psycho-oncology. Volume 30:Issue 12(2021)
• Page Start: 2032
• Page End: 2038
• Publication Date: 2021-08-28
• Subjects: cancer -- cancer care -- health inequities -- medical oncology -- mental health -- mental illness -- oncology -- psychiatry -- psycho‐oncology -- quality of health care; Cancer -- Psychological aspects -- Periodicals; Cancer -- Social aspects -- Periodicals; Neoplasms -- psychology -- Periodicals; 616.9940019
• DOI: 10.1002/pon.5790
• Languages: English
• ISSNs: 1057-9249

Abstract

Abstract: Objectives: Despite similar rates in cancer morbidity, patients with comorbid significant mental health difficulties (SMHD) experience higher mortality rates. This population has largely been neglected in cancer care research. Little is known about how to improve cancer outcomes for patients with SMHD. The aim of this research is to explore the views of healthcare professionals concerning the provision of cancer care to individuals with SMHD in an Irish context. Methods: Semi‐structured interviews were conducted with healthcare professionals ( n = 28) providing care to people with SMHD and cancer. This included oncology and psychiatry consultants ( n = 10); clinical nurse specialists ( n = 8); clinical psychologists ( n = 6); and medical social workers ( n = 4). Data were analysed using thematic analysis. Results: Four overarching themes were generated from the data highlighting the challenges associated with healthcare provision for this cohort. The themes were: Fragmentation of Care, Healthcare Providers' Understanding of SMHD, Complex Nature of Presentation, and Specialised Care Needs. Conclusions: The findings contribute to advancing our understanding of cancer care provision for patients with SMHD. They identify important barriers and facilitators to cancer care provision for this population from the perspective of healthcare professionals in Ireland. These findings will help to shape future research and contribute to improving the quality‐of‐care for people with SMHD and cancer.