End-of-Life Care for Veterans With Schizophrenia and Cancer

Ganzini, Linda; Socherman, Robert; Duckart, Jonathan P.; Shores, Molly M.

doi:10.1176/appi.ps.61.7.725

Cited by 12 publications

(51 citation statements)

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“…reviewed articles and systematically abstracted article information into databases that summarized data collection and methods, sample and setting, results/data, and conclusions. Most of the articles reviewed were cross‐sectional studies (34%), RCTs (18%), or nonsystematic reviews (11%) (Table ; for an expanded version of Table , see Supporting Information Tables 1‐3 [see online supporting information]) …”

Section: Methodsmentioning

confidence: 99%

“…The majority of cancer treatment studies in individuals with SMI have focused on patients with cancer and schizophrenia or major depression, 65,122,125,126,128,155 and several have examined cancer treatment across multiple psychiatric conditions. 64,130 To date, this research has been observational and cross-sectional.…”

Section: Treatmentmentioning

confidence: 99%

“…Increased prevalence of health risk behaviors and comorbidities, such as chronic obstructive pulmonary disease, obesity, diabetes, and cardiovascular disease, can complicate treatment and contribute to poorer outcomes . Fragmented primary, oncology, and mental health services; providers' stigmatizing beliefs or behaviors; and “diagnostic overshadowing”—when clinicians misattribute physical symptoms to a mental illness rather than, correctly, to a physical illness—may also delay appropriate diagnosis and treatment, especially for individuals with schizophrenia and other SMI …”

Section: Treatmentmentioning

confidence: 99%

“… Consciously avoid the tendency toward “diagnostic overshadowing,” or attributing physical symptoms that may indicate cancer to the patient's mental illness. Potential organizational‐level solutions to avoid diagnostic overshadowing include having peer navigators help in the coordination of care, better integration of care between mental health and health providers, and health care manager programs Improve information sharing strategies between medical and mental health providers via shared electronic health records, health information exchanges, or personal health records. Assess decisional capacity on an individual basis, and tailor communication based on cognitive deficits or other psychiatric symptoms …”

Section: Treatmentmentioning

confidence: 99%

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Cancer screening, prevention, and treatment in people with mental illness

Weinstein

Stefancic

Cunningham

et al. 2015

CA A Cancer J Clinicians

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People with mental illness die decades earlier in our country when compared to the general public Most of this disparity is related to preventable and treatable chronic conditions, with many studies finding cancer as the second leading cause of death. Individual lifestyle factors, such as smoking or limited adherence to treatment, are often cited as highly significant issues in shaping risk among persons with mental illness. However, many contextual or systems-level factors exacerbate these individual factors and may fundamentally drive health disparities among people with mental illness. We conducted an integrative review in order to summarize the empirical literature on cancer prevention, screening, and treatment for people with mental illness. While multiple interventions are being developed and tested to address tobacco dependence and obesity in these populations, the evidence for effectiveness is quite limited, and essentially all prevention interventions focus at the individual level. This review was able to find only one published article describing evidence-based interventions to promote cancer screening and improve cancer treatment in people with mental illness. Based on our review of the literature and the experience and expertise of the authors, we conclude each section with suggestions at the individual, interpersonal, organizational, community, and policy level that may improve cancer prevention, screening, and treatment in people with mental illness.

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Section: Methodsmentioning

confidence: 99%

Section: Treatmentmentioning

confidence: 99%

Section: Treatmentmentioning

confidence: 99%

Section: Treatmentmentioning

confidence: 99%

See 2 more Smart Citations

Cancer screening, prevention, and treatment in people with mental illness

Weinstein

Stefancic

Cunningham

et al. 2015

CA A Cancer J Clinicians

View full text Add to dashboard Cite

show abstract

“…In contrast, a small study in the Veteran Affairs system showed veterans with schizophrenia were significantly less likely to initiate chemotherapy but had comparable advance directives, opiate prescription, do-notresuscitate/do-not-intubate orders, and hospice enrollment. 20 To sum up so far, individuals with SMI have a heavy burden of serious medical illness and experience disparities in availability and kinds of EOL care. Such disparities include differences in access to palliative care and specialty medical care, differences in provision of both disease-modifying and life-extending treats in the EOL period, and differences in nursing home utilization and place of care.…”

Section: Current Patterns Of Eol Care For Individuals With Smi: Identmentioning

confidence: 99%

End-of-Life Care in Individuals With Serious Mental Illness

2020

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Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre-including this research content-immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

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Cancer and severe mental illness in low‐ and middle‐income countries: The challenges and outlook for the future

et al. 2021

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Objective: Patients with severe mental illness (SMI) face health inequalities that lead to under treatment of diseases such as cancer and result in increased mortality.There is literature addressing this issue for SMI patients in high-income countries but few for those in low-and middle-income countries. This review aims to draw attention to the health inequalities and the compounding factors faced by SMI patients in low-and middle-income countries. The relevance of integration of psycho-oncology in the care of SMI patients with cancer is integral to reduce disparities and address varied contributory factors. Methods:The literature review was conducted by searching through two databases which includes PubMed and Google Scholar. We searched for articles using keyword search terms: severe mental illness, SMI, schizophrenia, bipolar disorder, cancer, low-middle-income countries, low-and middle-income countries, psychooncology, HPV vaccine, cancer incidence, cancer mortality, cancer control, cancer screening, cancer treatment and palliative care.Results: A total of 80 research articles were included in our literature review. We found that there was an increased requirement for adapting to the changing disease landscape in low-and middle-income countries. An improvement on aspects such as vaccination, screening and prevention is necessary, and also efforts to change social stance towards SMI is crucial. Conclusion:There is an increase incidence of cancer in low-and middle-income countries, and the number of patients with SMI in low-and middle-income countries is also rising. This is due to social, psychological, economical and healthcare factors. Lowand middle-income countries must consider improving these aspects in order to adapt to the changing landscape.

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End-of-Life Care for Veterans With Schizophrenia and Cancer

Cited by 12 publications

References 0 publications

Cancer screening, prevention, and treatment in people with mental illness

Cancer screening, prevention, and treatment in people with mental illness

End-of-Life Care in Individuals With Serious Mental Illness

Cancer and severe mental illness in low‐ and middle‐income countries: The challenges and outlook for the future

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