Valutare il rischio bio-psico-sociale in oncoematologia pediatrica. Riflessioni sull’applicazione del Percorso Diagnostico Terapeutico Assistenziale (PDTA) della Regione Piemonte in psicologia oncologica: risultati preliminari

The oncological illness of a child puts the whole family in front of important physical and emotional stress often resulting in imbalances and changes both on the emotional and social family aspects. In order to make a proper screening of patients and families and to make a proper sending to the specialist from the professional team (as well as to ensure an appropriate care pathway) was approved by the Piedmont Region the Diagnostic and Therapeutic Assistance Path (PDTA) in Psychoncology. This study aims to present the preliminary results of the application of “La Scheda di Complessità” (instrument of the PDTA that evaluate the biological-psychological-social-assistance complexity) within the SC Pediatric Oncology and Transplantation Center Hospital in Turin. The data were collected from July 2011 to July 2014. It referred to 308 families at the moment of the diagnosis (173 cases globally complex and 135 globally non-complex). In the 173 cases complex, the most critical area is that psychological that affects 147 cases (42%). In 80 cases, it was already carried out also the assessment at the time of the end of the therapies, which shows that 57 cases remain or become non-complex while 23 cases result complexes in the phase of the end of the therapies. This complexity can be, however, referred to the fact that some of these cases (23) were high in the social complexities while others (7) had a psychological complexity / psychiatric previous to diagnosis. “La Scheda di Complessità” therefore is a useful tool for assessing any risks in families, for choosing the appropriate intervention and for evaluating the outcome.