20.2Structure

20.2.1 Concepts

Psycho-oncology has two overarching concepts:

•Conciliar psycho-oncology: The psychosocial staff is called on by the oncological treatment team if needed, primarily in situations of crisis

•Liaison psycho-oncology: The psychosocial staff carries out their activities in

close cooperation with the oncological treatment team, and their involvement is an established component of therapy and care for all patients and families Psychosocial liaison has proven its worth and become established in most pedi-

atric oncology centers. It facilitates acceptance of psycho-oncological care by the affected families, guarantees timely interventions, and increases the possibility of preventing severe disorders

20.2.2 Staff

Psycho-oncological care is carried out by members of various professional fields. It requires both the clearly defined distribution of tasks, and open and continuous interdisciplinary communication

The most important tasks are outlined below

20.2.2.1 Medical and Nursing Staff

In addition to providing somatic care, medical and nursing staff establish a foundation for emotional and social support through:

•Constancy of treatment and care

•Provision of information

•Continuity of contacts and relationships

20.2.2.2 Child Psychiatry and Psychology

•Investigations into child and adolescent psychiatry and psychology, including the family and wider social environment (school, peers, workplace, etc.)

•Specific neuropsychological tests

•Brief, problem-centered interventions in crisis situations

•Long-term support

•Psychotherapy after careful investigation and diagnosis

•Collaboration with family physicians and psychotherapists (e.g., for existing or reactive psychological and psychosomatic conditions)

20.2.2.3 Social Work

•Advice and support of parents or adolescent patients in social difficulty

•Organization of the care of siblings

•Provision of aids, care services, and financial support

•Contact with employers