Bea$ng'the'blues'against'cancer:'
a'community'approach'to'psychological' care'
! !
Jeff'Dunn'
! !
Griffith!Health!Ins/tute,!Griffith!University! Centre!for!Research!in!Cancer!Control,!Cancer!Council!Queensland! ' '
! !
!
Bea$ng'the'blues'against'cancer:' - - PowerPoint PPT Presentation
Bea$ng'the'blues'against'cancer:' a'community'approach'to'psychological' care' ! ! Jeff'Dunn' ! ! Griffith!Health!Ins/tute,!Griffith!University! Centre!for!Research!in!Cancer!Control,!Cancer!Council!Queensland! ' ' ! ! ! Background'
! !
! !
Griffith!Health!Ins/tute,!Griffith!University! Centre!for!Research!in!Cancer!Control,!Cancer!Council!Queensland! ' '
!
Suppor$ve'Care:'Emo/onal,!prac/cal,! spiritual,!psychoeduca/on,!decision! support,!peer!support!eg.'social!worker,! peers,!chaplain Universal'Care:'Informa/on,!brief! emo/onal!and!prac/cal!support! eg.!health!care!team,!QCF!Cancer! Helpline.
Hutchison, Steginga, Dunn (2005)
Extended'Care:'Counselling,!/me!limited! therapy,!skills!training!eg.!psychologist,! social!work,!QCF!teleKbased!Cancer! Counselling!Service.!
Moderate'' to'severe'' distress'
Acute'Care:!!Intensive!or!comprehensive! therapy!for!acute!and!complex!problems! eg.!mental!health!team,!psychiatrist. Specialist'Care:'Specialised'therapy!for! depression,!anxiety,!rela/onship! problems!eg.!psychologist,!psychiatrist.
Severe' distress'
Demographic'Variable' Pa$ents' N=354' Carers' N=336' Mean'(SD)' Mean'(SD)' Age'' 58.25'(11.23)' 52.52'(12.71)' %' %' Gender' Female' 82.5' 87.8' Male' 17.5' 12.2' Marital'Status'' Married/defacto' 39.5' 20.9' Not'married'(single,'widowed,'divorced)' 60.5' 79.1' Educa$on'' School'(<'grade'12)' 42.6' 34.0' Ter$ary' 57.4' 66.0' Income' <$20,000'' 18.6' 11.5' $20,000'a'less'than'$40,000'' 27.7' 27.1' $40,000'a'less'than'$60,000'' 14.1' 13.1' $60,000'a'less'than'$80,000'' 9.9' 9.7' $80,000'+'' 23.4' 33.0'
Prior!to!entering!the!trial,!only!21.5%!of!par/cipants!had!sought!psychosocial! services!in!the!past!month! !
Support'Service'Use' N'(%)' Have!you!seen!a!psychiatrist,!psychologist,!counsellor!or!social! worker!in!the!past!month?! 149!(21.5%)!
Psychiatrist!
15!(10.1%)!
Psychologist!
53!(35.6%)!
Counsellor!
24!(16.1%)!
Social!Worker!
76!(51.0%)!
Most!frequent!sources!of!emo/onal!support!were!family!and!friends,! followed!by!the!doctor,!and!nurse!
Sources'of'Emo$onal'Support' N'(%)' Have!you!accessed!any!of!the!following!services!for!emo/onal!support!in!the!past! month?! Doctor! 155!(22.4%)! Nurse/other!health!professional! 98!(14.2%)! Family/friends! 567!(81.9%)! Online!cancer!support!group! 31!(4.5%)! Face!to!face!cancer!support!group! 28!(4.0%)! Other!support!groups! 32!(4.6%)! Community!counselling!services!(e.g.,!Lifeline,!Centacare)! 20!(2.9%)! Government!organisa/ons!(e.g.,!Veteran’s!Affairs)! 10!(1.4%)! Community!organisa/ons!(e.g.,!Red!Cross,!Salva/on!Army)! 12!(1.7%)! Other! 149!(21.5%)!
!