Lessons learned: Building a coalition to advance equity in cancer and mental health care

Callaway, Catherine A.; Corveleyn, Amy E.; Barry, Maura J.; Gorton, Emily; Nierenberg, Andrew A.; Irwin, Kelly E.

doi:10.1002/pon.5852

Cited by 5 publications

(2 citation statements)

References 7 publications

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“…The authors defined a model to manage the multilevel barriers to cancer care for people with SMI, including pervasive mental health stigma, patient factors (lack of trust), clinician factors (inadequate training), and healthcare system factors (fragmented mental health and cancer care). Callaway et al 39 summarize the work done in Boston, Massachusetts, describing how it is possible to engage diverse stakeholders by establishing a coalition, to establish trust and to collaborate across sectors, including mental health. Also sharing conceptual foundations and the same language among stakeholders by facilitating conversations about discrimination and SMI, is a way for oncology and mental health clinicians to collaborate and to raise awareness about the inequity of cancer care for people with SMI.…”

Section: Interventionmentioning

confidence: 99%

Section: Overview Of the Special Issue Contentmentioning

confidence: 99%

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Disparities and inequalities in cancer care and outcomes in patients with severe mental illness: Call to action

Grassi

Riba

2021

Psycho-Oncology

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Objectives: People with severe mental illness (SMI) are at extreme risk of being stigmatized and to receive poor quality physical care. It has been demonstrated that they have higher morbidity and poorer prognosis of several medical diseases than the general population, with an at least 10-20-year reduction in life expectancy. Methods: A special issue of Psycho-Oncology focusing on cancer care among patients affected by SMI was called by the Editorial Board of the journal, with the aim to explore cancer health disparities and inequalities among people with SMI, mortality from cancer, problems of communication between multidisciplinary oncology and psychiatric teams and need for more structured intervention (i.e., screening, prevention, treatment). Results: Authors from eight countries contributed. The problem of stigma and barriers to cancer care provision for patients with SMI were studied (e.g., the complex nature of SMI and healthcare providers' misunderstanding of SMI). Key barriers were related to both patients, clinicians and institutional problems, such as fragmentation of care. A higher mortality from cancer and poor knowledge about cancer risk-factors was shown in patients with SMI. Models of intervention were also proposed. Conclusions: Several conclusions have been recommended by the authors, such as the need for guidelines and clinical procedures specific for cancer care in mental health settings; large-scale studies to address the disparities of care in people with SMI; a larger vision of psychosocial oncology as the facilitator of the liaison between oncology and psychiatry.

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Section: Interventionmentioning

confidence: 99%

Section: Overview Of the Special Issue Contentmentioning

confidence: 99%

Disparities and inequalities in cancer care and outcomes in patients with severe mental illness: Call to action

Grassi

Riba

2021

Psycho-Oncology

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Preserving Dignity and Epistemic Justice in Palliative Care for Patients with Serious Mental Health Problems

Grassi,

Cruciata,

Belvederi Murri

et al. 2024

Epistemic Justice in Mental Healthcare

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Dignity and preservation of dignity have emerged as a central and mandatory aim to pursue in all the areas of medicine, including palliative care. People with severe mental disorders (SMI) who are at the end of life pose further challenges because of the problem of stigma, which is intrinsically imbued in palliative care, as well as of other the variables including marginalization, alienation, and epistemic injustice typically associated with mental illness and psychiatry. A person-centred approach, which promotes a medicine of the person, for the person, by the person, and with the person, can increase the sense of personal dignity, as the other side of stigma, and epistemic justice for patients with SMI who are at the end of life. Dignity-oriented intervention, such as Dignity Therapy, can also be applied in palliative care settings for people with SMI with the aim to offer them an opportunity to reflect upon crucial existential and relational issues, to review aspects of their lives and of self, and to help in preparing a legacy of memories, words of love and wisdom with significant others.

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Disparities in cancer care in individuals with severe mental illness: A narrative review

Murphy,

Amin,

Celikkaleli

et al. 2024

Cancer Epidemiology

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Lessons learned: Building a coalition to advance equity in cancer and mental health care

Cited by 5 publications

References 7 publications

Disparities and inequalities in cancer care and outcomes in patients with severe mental illness: Call to action

Disparities and inequalities in cancer care and outcomes in patients with severe mental illness: Call to action

Preserving Dignity and Epistemic Justice in Palliative Care for Patients with Serious Mental Health Problems

Disparities in cancer care in individuals with severe mental illness: A narrative review

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