Table 2.

Challenges at the intersections between psychosocial care journeys and cancer care journeys. Columns represent phases of a psychosocial care journey, and rows represent phases of a cancer care journey. At the intersection of the two journeys, we provide an example challenge identified in our data, noting that additional unobserved challenges may exist.

	Identification of patients with depression	Initial assessment, diagnosis, and rapport building	Active depression treatment	Maintenance and relapse prevention planning
Cancer screening and diagnosis	Information overload from both cancer diagnosis and supportive care resources (Pt10)	Patients under-report depressive symptoms during initial assessment (BHP1)	Depression is decompensated with cancer diagnosis (MP2)	Cancer diagnosis can exacerbate existing stressors and risk factors (MP1)
Initial information-seeking	Patients hide depression following cancer diagnosis (MP1)	Patients may get tired of paperwork or refuse initial assessment (MP2)	<unobserved>	<unobserved>
Acute cancer care and treatment	Oncology staff may not screen for depression (A1)	Initial assessment can be difficult when cancer-related stressors take precedence (BHP3)	Lack of energy impedes depression treatment (MP5)	<unobserved>
No evidence of disease	Depression may not be identified when not seeing oncologists or BHPs (BHP5)	<unobserved>	Patients are not transitioned to community providers or lose access to BHPs following cancer treatment (Pt1)	<unobserved>