TABLE 2.

Psychosocial Standards: Core psychosocial services at diagnosis and in treatment²³

Standard	Care Delivery (%) 4		When is care provided (%)
PSS1: Youth with cancer and their family members should routinely receive systematic assessments of their psychosocial health care needs	Informal Discussion	81.3	When a problem is identified	93.2
	Structured Interview	66.1	At diagnosis	71.2
	Psychosocial Assessment Tool	28.8	First week after diagnosis	62.7
	Distress Thermometer	13.6	Within the first month after diagnosis	54.2
	Also mentioned were institution specific tools used by social workers and standardized measures of child and family functioning, not specific to cancer.		At every inpatient admission	57.6
			At every clinic visit	24.6
			At end of treatment	42.4
			At survivorship visits	54.2
PSS4: Youth with cancer and their family members should have access to psychosocial support and interventions throughout the cancer trajectory and access to psychiatry as needed	Informal discussion	98.3	When a problem was identified	97.4
	Supportive psychotherapy	83.6	At diagnosis	72.4
	Support Groups	43.1	First week of treatment	72.4
	Family therapy	49	First month after diagnosis	62.9
	Cognitive behavioral therapy	69	Every admission	60.3
	Problem Solving Skills Training	43.1	Every clinic visit	36.2
	Surviving Cancer Competently Intervention Program	7.8	At end of treatment	47.4
	Psychotropic medication	58.6	Survivorship visits	54.3
PSS6: Parents and caregivers of children with cancer should have early and ongoing assessment of their mental health needs	Informal Discussion	98.2	When a problem is identified	96.5
	Referral to therapist in the community	93.9	At diagnosis	74.6
	Referral to psychiatrist in the community	74.6	First week after diagnosis	69.3
	Supportive psychotherapy	70.2	Within the first month after diagnosis	64.9
			Every inpatient admission	50.9
			Survivorship visits	40.4
			At end of treatment	39.5
			Every clinic visit	32.5

²Based on respondents answering each question. n’s ranged from 113–118.

³Responses allowed for multiple answers (“check all that apply”)