Background/Rationale
For any initiative to be successful there must be a sound evidence base. Research consistently reports psychological and social support is integral to comprehensive cancer treatment; with distress once being defined as the 6th vital sign alongside the physiological signs of cancer. International and local evidence not only indicate the persistent disparities in accessing psychosocial services, but these disparities are further emphasised in marginalised populations. The aim of this presentation is to provide an overview of the current evidence underpinning the Cancer Psychological and Social Support Service.
Methods
A review of national policy and governmental reports was undertaken alongside national studies on psychosocial support and unmet need. Additionally, international research and consensus statements from leading cancer centres were examined to identify best practice recommendations and service design principles. The review synthesised key findings that shaped the rationale and structure of the CPSSS.
Impact on practice
The review has extended our understanding of what is meant by psychological and social impact of cancer for patients and whānau. It has also highlighted that addressing psychosocial needs can positively impact the patient's treatment outcomes and reduce costs for health services. This information has both informed the development of the service and provided an appropriate language/ terminology to explain the emotional and social difficulties experienced by patients to our medical colleagues. Furthermore, it provides validation for the work of individual clinicians and teams.
Discussion
Psychosocial support is not solely about reducing distress—it is about seeing the person beyond the cancer diagnosis, considering their emotional, spiritual, practical, and cognitive needs. The evidence base supports the development of CPSSS to promote holistic care and reinforce the need for culturally responsive, accessible services. Ongoing development is needed to enhance equity and ensure all cancer patients receive the support they need throughout their cancer experience.