Table 2.

Ancillary service rationale

Ancillary service	Rationale
Social Work	Patients with YO‐CRC have significant psychosocial needs atypical of the patient with average onset CRC, as well as needs outside of the typical AYA population. A dedicated social worker with a focus on patients with YO‐CRC was hired to meet these needs.
Fertility	CCA data indicated that a majority of patients with YO‐CRC did not speak to a fertility specialist before or during their treatment, even though patients reported infertility and/or early menopause resulting from treatment. Intentional, early intervention with fertility was deemed a key programmatic element.
Sexual Health	Sexual dysfunction has been reported as one of the most common long‐term effects of CRC treatment. In consultation with our sexual medicine group, early education about sexual health services and early intervention when necessary are needed to reduce these effects.
Nutrition	A focus on early access to nutrition services was identified as a key component because of expected nutritional challenges that may result from multimodality treatment.
Integrative Medicine	Integrative medicine services were found to reduce side effects in some patients with CRC. Education about and referral to these services were included in the program.
Psychiatry and Psychology	Providers with a focus on treating this patient population reserved psychiatry visits for high acuity patients with YO‐CRC.

Abbreviations: AYA, Adolescent and Young Adult; CCA, Colorectal Cancer Alliance; CRC, colorectal cancer; YO‐CRC, young onset colorectal cancer.