title: Integrated psychological care in head and neck cancer: Views from health care providers, patients, and supports.
abstract: OBJECTIVE
  An evaluation by head-and-neck cancer (HNC) staff, patients, and patient support feedback regarding integrated psychological care and perceived benefit based on patient characteristics.
  
  
  METHODS
  Cross-sectional survey of HNC staff, patients, and their primary supports; and retrospective chart review of psychiatric characteristics of HNC patients.
  
  
  METHODS
  HNC staff, patients (who were evaluated by the integrated psychologist), and their primary supports were given questionnaires on their perception of benefit of including a psychologist in the evaluation and treatment of HNC patients. Also, a retrospective chart review on patients who were psychiatrically evaluated by the psychologist on sociodemographics and psychiatric characteristics.
  
  
  RESULTS
  Overall, integration of a psychologist was well received by patients, supports, and staff. Younger patients reported greater satisfaction with the availability of the psychologist than older patients (P = .04), and patients with reported psychiatric histories (diagnoses in remission) indicated more satisfaction with the psychologist in relation to managing distress than patients who denied psychiatric histories (P = .03); however, patients who were currently smoking tended to report lower satisfaction with the psychologist helping with distress than those who were past/never smokers (P = .06).
  
  
  CONCLUSIONS
  Integrated psychological care has the potential to improve care provided for HNC patients.
  
  
  METHODS
  Level 4.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Henry Ford Health Systems, Detroit, Michigan, U.S.A.|Behavioral Health Services, Henry Ford Health Systems, Detroit, Michigan, U.S.A.
authors.forename: Michelle T
authors.initials: MT
authors.lastname: Jesse
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Henry Ford Health Systems, Detroit, Michigan, U.S.A.|Behavioral Health Services, Henry Ford Health Systems, Detroit, Michigan, U.S.A.
authors.forename: Michael E
authors.initials: ME
authors.lastname: Ryan
authors.affiliation: Behavioral Health Services, Henry Ford Health Systems, Detroit, Michigan, U.S.A.
authors.forename: Anne
authors.initials: A
authors.lastname: Eshelman
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Henry Ford Health Systems, Detroit, Michigan, U.S.A.
authors.forename: Tamer
authors.initials: T
authors.lastname: Ghanem
authors.affiliation: Behavioral Health Services, Henry Ford Health Systems, Detroit, Michigan, U.S.A.
authors.forename: Amy M
authors.initials: AM
authors.lastname: Williams
authors.affiliation: Behavioral Health Services, Henry Ford Health Systems, Detroit, Michigan, U.S.A.
authors.forename: Lisa R
authors.initials: LR
authors.lastname: Miller-Matero
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Henry Ford Health Systems, Detroit, Michigan, U.S.A.
authors.forename: Kathleen
authors.initials: K
authors.lastname: Yaremchuk
mesh_terms: D001291:Attitude of Health Personnel; D003430:Cross-Sectional Studies; D005260:Female; D006258:Head and Neck Neoplasms / Q000150:complications* / Q000523:psychology*; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000209:etiology* / Q000628:therapy*; D008875:Middle Aged; D017060:Patient Satisfaction; D011613:Psychotherapy; D012189:Retrospective Studies; D012944:Social Support
keywords: Anxiety; depression; head and neck cancer; patient satisfaction