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Psychological Support and Social Care

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A Practical Approach to the Care of Adolescents and Young Adults with Cancer

Abstract

Experiencing a cancer diagnosis and its treatment during the adolescent and young adult (AYA) years has the potential to impact every realm of human functioning. It can significantly disrupt the developmental trajectory of a young person. However, it can also provide opportunities for positive adolescent development and growth. The spectrum of impacts that accompany a cancer experience during the AYA years, from the time of diagnosis, throughout treatment and into future years, are increasingly well understood. However, approaches to care that have developed over time to best support young people’s psychological and social wellbeing vary significantly. This chapter focuses on psychological support and social care for young people diagnosed with cancer. With recognition of the myriad of impacts of a cancer diagnosis during the AYA years, significant international variation in models of care and key principles of youth friendly healthcare, this chapter aims to provide a practical approach to the delivery of developmentally appropriate psychological and social care. This chapter specifically: examines the unique developmental and psychosocial issues experienced by young people; discusses the foundations required to provide youth friendly psychosocial cancer care and; offers a practical approach to care based on the accumulated experience of those working in the field and relevant literature.

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References

  1. National Institute for Health and Clinical Excellence, Guidance on Cancer Services: Improving Outcomes in Children and Young People with Cancer. The manual. London: National Institute for Health and Clinical Excellence (NICE); 2005.

    Google Scholar 

  2. Abrams AN, Hazen EP, Penson RT. Psychosocial issues in adolescents with cancer. Cancer Treat Rev. 2007;33(7):622–30.

    Article  PubMed  Google Scholar 

  3. Docherty SL, et al. The adolescent and young adult with cancer: a developmental life course perspective. Semin Oncol Nurs. 2015;31(3):186–96.

    Article  PubMed  Google Scholar 

  4. Harvey N, Finch A. Supportive care of adolescents and young adults during cancer treatment. In: Kelly D, Gibson F, editors. Cancer care for adolescents and young adults. Victoria: Blackwell Publishing; 2008.

    Google Scholar 

  5. Sawyer SM, et al. Fulfilling the vision of youth friendly cancer care: a study protocol. J Adolesc Young Adult Oncol. 2016;5(3):267–77.

    Article  PubMed  Google Scholar 

  6. Bolte S, Zebrack BJ. Sexual issues in special populations: adolescents and young adults. Semin Oncol Nurs. 2006;24(2):5.3.

    Google Scholar 

  7. Carpentier MY, et al. Prevalence of multiple health related behaviors in adolescents with cancer. J Pediatr Hematol Oncol. 2008;30(12):902–7.

    Article  PubMed  Google Scholar 

  8. McCarthy MC, et al. Psychological distress and posttraumatic stress symptoms in adolescents and young adults with cancer and their parents. J Adolesc Young Adult Oncol. 2016;5(4):322–9.

    Article  PubMed  Google Scholar 

  9. Murnane A, et al. Adolescents and young adult cancer survivors: exercise habits, quality of life and physical activity preferences. Support Care Cancer. 2015;23(2):501–10.

    Article  CAS  PubMed  Google Scholar 

  10. Seitz DC, Besier T, Goldbeck L. Psychosocial interventions for adolescent cancer patients: a systematic review of the literature. Psychooncology. 2009;18(7):683–90.

    Article  PubMed  Google Scholar 

  11. Shnorhavorian M, et al. Fertility preservation knowledge, counselling, and actions among adolescent and young adult patients with cancer: a Population-Based Study. Cancer. 2015;121(19):3499–506.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Zebrack BJ. Information and service needs for young adult cancer survivors. Support Care Cancer. 2009;17(4):349–57.

    Article  PubMed  Google Scholar 

  13. Barr RD. Common cancers in adolescents. Cancer Treat Rev. 2007;33(7):597–602.

    Article  PubMed  Google Scholar 

  14. Bleyer A, et al. The distinctive biology of cancer in adolescents and young adults. Nat Rev Cancer. 2008;8(4):288–98.

    Article  CAS  PubMed  Google Scholar 

  15. Australian Institute of Health and Welfare, Cancer in adolescents and young adults in Australia. Cancer series no. 62. 2011, Canberra: AIHW.

    Google Scholar 

  16. World Health Organisation. Adolescent friendly health services: an agenda for change. Geneva: World Health Organization; 2002.

    Google Scholar 

  17. Sawyer S, Aroni RA. Self-management in adolescents with chronic illness: what does it mean and how can it be achieved? Med J Aust. 2005;138(8):405–9.

    Google Scholar 

  18. Sawyer S, et al. Adolescents with a chronic condition: challenges living, challenges treating. Lancet. 2007;369(9571):1481–9.

    Article  PubMed  Google Scholar 

  19. Hofmann AD, Greydanus DE. Adolescent medicine. Stamford: Appleton & Lange; 1997.

    Google Scholar 

  20. Sawyer SM, et al. Adolescence: a foundation for future health. Lancet. 2012;6736(12):1630–40.

    Article  Google Scholar 

  21. American Psychological Association. Developing adolescents: a reference for professionals. Washington, DC: American Psychological Association; 2002.

    Google Scholar 

  22. Patton G, Viner R. Pubertal transitions in health. Lancet. 2007;369(9567):1130–9.

    Article  PubMed  Google Scholar 

  23. Casey BJ, Jones RM. Neurobiology of the adolescent brain and behaviour. J Am Acad Child Adolesc Psychatry. 2010;49(12):1189–285.

    CAS  Google Scholar 

  24. Johnson SB, Blum RW, Giedd JN. Adolescent maturity and the brain: the promise and pitfalls of neuroscience research in adolescent health policy. J Adolesc Health. 2009;45(3):216–21.

    Article  PubMed  PubMed Central  Google Scholar 

  25. Erikson EH. Identity: Youth and Crisis. New York: Norton; 1968.

    Google Scholar 

  26. Harter S. Self and identity development. In: Feldman SS, Elliot GR, editors. At the threshold: the developing adolescent. Cambridge: Harvard University Press; 1990.

    Google Scholar 

  27. Green H, et al. Mental health of children and young people in the Great Britain 2004. Norwich: Palgrave Macmillan; 2005.

    Book  Google Scholar 

  28. Australian Institute of Health and Welfare. Young Australians: their Health and Wellbeing. Canberra: AIHW; 2011.

    Google Scholar 

  29. Department of Health and Aging. The Mental Health of Australians 2: report on the 2007 National Survey of Mental Health and Wellbeing. Canberra: Department of Health and Ageing; 2009.

    Google Scholar 

  30. Institute for Health Metrics and Evaluation. Global Burden of Disease Study: results by cause 1990–2010—country level. Seattle: Institute for Health Metrics and Evaluation (IHME); 2010.

    Google Scholar 

  31. Robinson E. Young people and their parents: supporting families through changes that occur in adolescence, In AFRC Briefing No.1. Melbourne: Australian Family Relations Clearinghouse, Australian Institute of Family Studies; 2006.

    Google Scholar 

  32. Gardener M, Steinberg L. Peer influence on risk-taking, risk preference and risky decision-making in adolescence and adulthood: an experimental study. Dev Psychol. 2005;41(1):625–35.

    Article  Google Scholar 

  33. Micucci JA. The adolescent in family therapy: breaking the cycle of conflict and control. New York: Guilford; 1998.

    Google Scholar 

  34. Gravestock H, McDowell K, Mazzini M. No teenager with cancer left out, the impact on young peoples’ secondary education. London: CLIC Sargent—Cancer Support for the Young; 2013.

    Google Scholar 

  35. Palmer S. Improving care for AYA patients treated within adult hospitals: what can be done right now? Cancer Forum. 2009;33(1):22–5.

    Google Scholar 

  36. Donnan BM, et al. What about school? Educational challenges for children and adolescents with cancer. Aust Educ Dev Psychol. 2015;23(32):23–40.

    Article  Google Scholar 

  37. Perry CL. Preadolescent and adolescent influences on health. In: Smedley BD, Syme LS, editors. Promoting health: intervention strategies from social and behavioral research. Washington, DC: National Academy Press; 2000.

    Google Scholar 

  38. McNeil SB. Spirituality in adolescents and young adults with cancer: a review of the literature. J Paediatr Oncol Nurs. 2016;33(1):55–63.

    Article  Google Scholar 

  39. Zebrack B, Isaacson S. Psychosocial care of adolescent and young adult patients with cancer and survivors. J Clin Oncol. 2012;30(11):1221–6.

    Article  PubMed  Google Scholar 

  40. Arnett JJ. Suffering, selfish, slackers? Myths and reality about emerging adults. J Youth Adolesc. 2007;36(1):23–9.

    Article  Google Scholar 

  41. Piaget J. Intellectual evolution from adolescence to adulthood. In: Learner R, Jovanovic J, editors. Cognitive and moral development and academic achievement in adolescence. New York: Garland Publishing, Inc.; 1999.

    Google Scholar 

  42. World Health Organisation. The health of young people: a challenge and a promise. Geneva: World Health Organisation (WHO); 1993.

    Google Scholar 

  43. Carlson C, Uppal S, Prosser EC. Ethnic differences in processes contributing to the self-esteem of early adolescent girls. J Early Adolesc. 2000;20(1):44–68.

    Article  Google Scholar 

  44. Roberts DM. Media and youth: access, exposure, and privatization. J Adolesc Health. 2000;27(Suppl):8–14.

    Article  CAS  PubMed  Google Scholar 

  45. Bennett DL, Chown P, Kang MS. Cultural diversity in adolescent health care. Med J Aust. 2005;183(8):436–8.

    PubMed  Google Scholar 

  46. Turner-Sack AM, et al. Posttraumatic growth, coping strategies and psychological distress in adolescent survivors of cancer. Pediatric Oncol Nurs. 2012;29(2):70–9.

    Article  Google Scholar 

  47. Bellizzi KM, et al. Positive and negative psychosocial impact of being diagnosed with cancer as an adolescent or young adult. Cancer. 2012;118(20):5155–62.

    Article  PubMed  Google Scholar 

  48. Osborn M, et al. Youth cancer services in Australia: development and implementation. International perspectives on AYAO, Part 3. J Adolesc Young Adult Oncol. 2012;2(3):1–8.

    Google Scholar 

  49. American Psychological Association. Glossary of psychological terms. 2016.

    Google Scholar 

  50. Cancer Australia. National service delivery framework for adolescents and young adults with cancer. Canberra: Commonwealth of Australia; 2008.

    Google Scholar 

  51. National Cancer Institute. NCI dictionary of cancer terms: psychosocial. 2012. https://www.cancer.gov/publications/dictionaries/cancer-terms?cdrid=648685.

  52. Fernandez C, et al. Principles and recommendations for the provision of healthcare in Canada to adolescent and young adult–aged cancer patients and survivors. J Adolesc Young Adult Oncol. 2011;1(1):6.

    Article  Google Scholar 

  53. Clinical Oncology Society of Australia. Psychosocial management of AYAs diagnosed with cancer: Guidance for health professionals. 2014.

    Google Scholar 

  54. Sacks D, Westwood M. An approach to interviewing adolescents. Paediatr Child Health. 2003;8(9):554–6.

    PubMed  PubMed Central  Google Scholar 

  55. Health, C.F.A. Clinical practice guideline: engaging with the adolescent patient. 2012.

    Google Scholar 

  56. Robinson E, Miller R. Adolescents and their families: best interests case practice model and specialist practice resource. Melbourne: The Victorian Government Department of Human Services; 2012.

    Google Scholar 

  57. Duncan R, Young MA. Tricky teens: are they really tricky or do genetic health professionals simply require more training in adolescent health? Pers Med. 2013;10(6):589–600.

    Article  CAS  Google Scholar 

  58. Zebrack B, Chesler MA, Kaplan S. To foster healing among adolescents and young adults with cancer: what helps? What hurts? Support Care Cancer. 2010;18(1):131–5.

    Article  PubMed  Google Scholar 

  59. Coupey SM. Interviewing adolescents. Pediatr Clin North Am. 1997;44(6):1349–64.

    Article  CAS  PubMed  Google Scholar 

  60. Eccles JS, et al. Development during adolescence: the impact of stage-environment fit on young adolescents’ experiences in schools and in families. Am Psychol. 1993;48(1):90–101.

    Article  CAS  PubMed  Google Scholar 

  61. English A, Ford C. More evidence supports the needs to protect confidentiality in adolescent healthcare. J Adolesc Health. 2007;40(1):199–200.

    Article  PubMed  Google Scholar 

  62. English A, et al. Health care reform for adolescents—an agenda for the lifespan: a position paper of the Society for Adolescent Medicine. J Adolesc Health. 2009;6(1):1–6.

    Google Scholar 

  63. Appelbaum PS, Grisso T. Assessing patients’ capacity to consent to treatment. N Engl J Med. 1998;319(1):1635–8.

    Google Scholar 

  64. Bellhouse J, et al. Decision-making capacity in adults: its assessment in clinical practice. Adv Psychiatr Treat. 2001;7(1):294–301.

    Article  Google Scholar 

  65. Royal Australian College of Physicians. Routine adolescent health psychosocial assessment - position statement. Sydney: Royal Australian College of Physicians (RACP); 2008.

    Google Scholar 

  66. Kuther TL. Medical decision-making and minors: issues of consent and assent. Adolescence. 2003;38(150):343–58.

    PubMed  Google Scholar 

  67. Shaw M. Competence and consent to treatment in children and adolescents. Adv Psychiatr Treat. 2001;7(2):150–9.

    Article  Google Scholar 

  68. Palmer S, Thomas DA. A practice framework for working with 15–25 year-old cancer patients treated within the adult health sector. Melbourne: ONTrac@PeterMac Victorian Adolescent & Young Adult Cancer Service; 2008.

    Google Scholar 

  69. Yeo MS, Sawyer SM. Psychosocial assessment for adolescents and young adults with cancer. Cancer Forum. 2009;33(1)

    Google Scholar 

  70. Ford C, English A, Sigman G. Confidential healthcare for adolescents: position paper for the society of adolescent medicine. J Adolesc Health. 2004;35(1):1–8.

    Article  Google Scholar 

  71. Sasse RA, et al. Confidential consultations with adolescents: an exploration of Australian parents’ perspectives. J Adolesc Health. 2013;52(6):786–91.

    Article  PubMed  Google Scholar 

  72. Palmer S, Patterson P, Thompson K. A national approach to improving adolescent and young adult (AYA) oncology psychosocial care: the development of AYA-specific psychosocial assessment and care tools. Palliat Support Care. 2014;12(3):183–8.

    Article  PubMed  Google Scholar 

  73. CanTeen Australia. Adolescent and young adult oncology psychosocial care manual. Sydney: sCanTeen Australia; 2011.

    Google Scholar 

  74. Parker A, Hetrick S, Percell R. Psychosocial assessment of young people: refining and evaluating a youth friendly assessment interview. Aust Fam Physician. 2010;39(8):585–8.

    PubMed  Google Scholar 

  75. Recklitis CJ, Blackmon JE, Chang G. Screening young adult cancer survivors for distress with the distress thermometer: comparisons with a structured clinical diagnostic interview. Cancer. 2016;122(2):296–303.

    Article  PubMed  Google Scholar 

  76. Goldenring J, Cohen E. Getting into adolescents heads. Contemp Pediatr. 1988;5(1):75–90.

    Google Scholar 

  77. Goldenring J, Rosen D. Getting into adolescents heads: an essential update. Contemp Pediatr. 2004;21(1):64–90.

    Google Scholar 

  78. Hollis R, Morgan S. The adolescent with cancer—at the edge of no-man’s land. Lancet Oncol. 2001;2(1):43–8.

    Article  CAS  PubMed  Google Scholar 

  79. Hutton A. Consumer perspectives in adolescent ward design. J Clin Nurs. 2005;15(5):537–45.

    Article  Google Scholar 

  80. Morgan S, et al. Sex, drugs, and rock ‘n’ roll: caring for adolescents and young adults with cancer. J Clin Oncol. 2010;28(32):4825–30.

    Article  PubMed  Google Scholar 

  81. Sturrock T, Steinbeck K. Adolescents and youth in adult hospitals: psychosocial assessment n admission—an evaluation of the youth care plan. Aust J Adv Nurs. 2011;31(1):28–35.

    Google Scholar 

  82. D’Agostino NM, Penney A, Zebrack B. Providing developmentally appropriate psychosocial care to adolescent and young adult cancer survivors. Cancer. 2011;117(Supp 10):2329–34.

    Article  PubMed  Google Scholar 

  83. Kang M, et al. Better practice in youth health. In: SW Centre for the Advancement of Adolescent Health, The Children’s Hospital at Westmead, in association with the Department of General Practice. Sydney: The University of Sydney at Westmead Hospital; 2005.

    Google Scholar 

  84. Kyngäs H. Patient education: perspective of adolescents with a chronic disease. J Clin Nurs. 2003;15(5):744–51.

    Article  Google Scholar 

  85. Mulhall A, Kell D, Pearce A. Qualitative evaluation of an adolescent cancer unit. Eur J Cancer Care. 2004;13(1):16–22.

    Article  CAS  Google Scholar 

  86. Corey AL, et al. Social support and symptom distress in adolescent/young adults with cancer. J Paediatr Nurs. 2008;25(5):275–84.

    Google Scholar 

  87. Kwak M, et al. Trajectories of psychological distress in adolescent and young adult patients with cancer: a 1-year longitudinal study. J Clin Oncol. 2013;31(17):2160–6.

    Article  PubMed  Google Scholar 

  88. Park EM, Rosenstein DL. Depression in adolescents and young adults with cancer. Dialogues Clin Neurosci. 2015;17(2):171–80.

    PubMed  PubMed Central  Google Scholar 

  89. Smith AW, Bellizzi KM, Keegan TH. Health-related quality of life of adolescent and young adult patients with cancer in the United States: the adolescent and young adult health outcomes and patient experience study. J Clin Oncol. 2013;31(17):2136–45.

    Article  PubMed  PubMed Central  Google Scholar 

  90. Xie J, et al. A prevalence study of psychosocial distress in adolescents and young adults with cancer. Cancer Nurs. 2017;40(3):217–23.

    Article  PubMed  Google Scholar 

  91. World Health Organisation. Mental health: a State of Wellbeing. Geneva: World Health Organisation; 2014.

    Google Scholar 

  92. Dyson GJ, et al. The relationship between unmet needs and distress amongst young people with cancer. Support Care Cancer. 2012;20(1):75–85.

    Article  PubMed  Google Scholar 

  93. Yeo MS, Sawyer SM. ABC of adolescence. Chronic illness and disability. Br Med J. 2005;330(7493):721–3.

    Article  Google Scholar 

  94. Zebrack B, et al. Psychological distress and unsatisfied need for psychosocial support in adolescent and young adult cancer patients during the first year following diagnosis. Psychooncology. 2014;23(11):1267–75.

    Article  PubMed  Google Scholar 

  95. Shay LA, Carpentier MY, Vernon SW. Prevalence and correlates of fear of recurrence among adolescent and young adult versus older adult post-treatment cancer survivors. Support Care Cancer. 2016;24(11):4689–96.

    Article  PubMed  PubMed Central  Google Scholar 

  96. Lauer AL. Treatment of anxiety and depression in adolescents and young adults with cancer. J Pediatr Oncol Nurs. 2015;32(5):278–83.

    Article  PubMed  Google Scholar 

  97. Kwak M, et al. Prevalence and predictors of post-traumatic stress symptoms in AYA cancer survivors: a 1 year follow up study. Psychooncology. 2013;2(8):1798–806.

    Article  Google Scholar 

  98. Ramphal R, et al. Adolescent and young adult cancer: principles of care. Curr Oncol. 2016;23(3):204–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  99. Lynam J. Supporting one another: the nature of family work when a young adult has cancer. J Adv Nurs. 1995;22(1):116–25.

    Article  CAS  PubMed  Google Scholar 

  100. Zebrack B, Chesler MA, Penn A. Psychosocial support. In: Bleyer MA, Barr RD, editors. Cancer in adolescents and young adults. Heidelberg: Springer Verlag; 2007.

    Google Scholar 

  101. Price J. Information needs of the child with cancer and their family. Cancer Nurs Pract. 2003;2(7):35–8.

    Article  Google Scholar 

  102. Trask P, et al. Parent and adolescent adjustment to paediatric cancer: associations with coping, social support and family function. J Paediatr Oncol Nurs. 2003;20(1):36–47.

    Article  Google Scholar 

  103. Alderfer MA, et al. Psychosocial adjustment of siblings of children with cancer: a systematic review. Psychooncology. 2010;19(8):789–805.

    Article  PubMed  Google Scholar 

  104. Spinetta J, et al. Guidelines for assiatcne to siblings of children with cancer: report for the SIOP working committee on psychosocial issues in paediatric oncology. Med Paediat Oncol. 1999;33(4):395–8.

    Google Scholar 

  105. CanTeen Australia. Supporting adolescent and young adult siblings of cancer patients: the family context. Sydney: CanTeen Australia; 2011.

    Google Scholar 

  106. Patterson P, Medlow S, McDonald F. Recent developments in supporting adolescent & young adult siblings of cancer patients. Supportive Care. 2015;27(4):311–15.

    Google Scholar 

  107. Robertson E, Sansom-Daly UM, Wakefield CE, et al. Sexual and Romantic Relationships: Experience of Adolescnet & Young Adult Cancer Survivors. J Adolesc Young Adult Oncol. 2016;5(3):286–91.

    Google Scholar 

  108. Longo CJ. Financial and family burden associated with cancer treatment in Ontario, Canada. Support Care Cancer. 2006;14(11):1077–85.

    Article  PubMed  Google Scholar 

  109. Choquette A, Rennick J, Lee V. Back to school after cancer treatment. Cancer Nurs. 2016;39(5):393–401.

    Article  PubMed  Google Scholar 

  110. Pini S, Hugh-Jones S, Gardner PH. What effect does a cancer diagnosis have on the educational engagement and school life of teenagers? A systematic review. Psychooncology. 2011;21(7):685–94.

    Article  PubMed  Google Scholar 

  111. Zebrack BJ. Psychological, social, and behavioral issues for young adults with cancer. Cancer. 2011;117(10):2289–94.

    Article  PubMed  Google Scholar 

  112. Gurney JG. Social outcomes of the childhood cancer survivor study cohort. J Clin Oncol. 2009;27(14):2390–5.

    Article  PubMed  PubMed Central  Google Scholar 

  113. Searle NS. Homebound schooling is the least favourable option for continued education of adolescent cancer patients: a preliminary report. Med Paediatr Oncol. 2003;40(6):380–4.

    Article  Google Scholar 

  114. Jaffe ML. Adolescence. New York: Wiley; 1998.

    Google Scholar 

  115. Manaster GJ. Adolescent development and the life tasks. Boston: Allyn & Bacon, Inc.; 1977.

    Google Scholar 

  116. Taylor E, et al. Spirituality and spiritual care in adolescents and young adults with cancer. Sem Oncol Nurs. 2015;3(3):227–41.

    Article  Google Scholar 

  117. Wein S, Pery S, Zer A. Role of palliative care in adolescent and young adult oncology. J Clin Oncol. 2010;28(32):4819–24.

    Article  PubMed  Google Scholar 

  118. Casillas J, et al. Transitioning childhood cancer survivors to adult-centred health care: insights from parents, adolescent young adult survivors. Psychooncology. 2010;19(2):982–90.

    Article  PubMed  Google Scholar 

  119. Doug M, et al. Transition to adult services for children and young people with palliative care needs: a systematic review. Arch Dis Child. 2011;96(1):78–84.

    Article  CAS  PubMed  Google Scholar 

  120. Mulder RL, et al. Transition guidelines: an important step in the future care for childhood cancer survivors. A comprehensive definition as groundwork. Eur J Cancer. 2016;54(1):64–8.

    Article  CAS  PubMed  Google Scholar 

  121. Nathan PC, et al. Critical issues in transition and survivorship for adolescents and young adults with cancers. Cancer. 2011;117(10 Suppl):2335–41.

    Article  PubMed  Google Scholar 

  122. Patterson P, et al. Emerging issues among adolescent and young adult cancer survivors. Semin Oncol Nurs. 2015;31(1):53–9.

    Article  PubMed  Google Scholar 

  123. Freyer DR. Transition of care for young adult survivors of childhool and adolescent cancer: Rationale and approaches. J Clin Oncol. 2010;28(32):4810–8.

    Article  PubMed  PubMed Central  Google Scholar 

  124. Kinahan KE, et al. Models of cancer survivorship care for adolescents and young adults. Semin Oncol Nurs. 2015;31(3):251–9.

    Article  PubMed  PubMed Central  Google Scholar 

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Authors and Affiliations

  1. The University of Newcastle, University Drive, Callaghan, Newcastle, NSW, Australia

    Lucy Holland

  2. Victorian Adolescent and Young Adult Cancer Service, Peter MacCallum Cancer Centre, Melbourne, VIC, Australia

    Kate Thompson

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  1. Lucy Holland
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  1. Royal Marsden Hospital, Sutton, Surrey, United Kingdom

    Julia Chisholm

  2. University College Hospital, London, United Kingdom

    Rachel Hough

  3. University College Hospital, London, United Kingdom

    Louise Soanes

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Holland, L., Thompson, K. (2018). Psychological Support and Social Care. In: Chisholm, J., Hough, R., Soanes, L. (eds) A Practical Approach to the Care of Adolescents and Young Adults with Cancer. Springer, Cham. https://doi.org/10.1007/978-3-319-66173-5_4

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