1. Psycho-social services for cancer patients

2. Actual problems of psycho- social services for cancer patients Distress / depression Family disruption / depression Job distress Cope with diagnosis Medical service / doctor Anxiety / Fatalism

3. Psycho logy Bio-psycho-social concept 1. Actual psychological/mental problems /Anxiety, depression, distress, stress / 2. Diseases: /Psycho-somatic diseases, stomach ulcer/  3. Social problems: /family disruption, family depression) BodyBody Society

4. Integrated service 1.Medical service 2. Psychological service Psychological Counseling Psycho- therapy ++ 3. Social service / support Psycho-social support service

5. Psycho-social service for cancer patients 1.Social support 2.Psycho-educational groups 3.Support groups 4.Psychological counseling Improved attitude and capacity to cope with disease is /Feldman 1993, Fahey & Morton 1993, Heinrich& Schlag 1985/ Improved life quality of cancer patients /Celia & Yellen 1993, Spiegel & Yalom 1981/ Improved capacity of cancer patients to cope with disease /Latimer & Schwartz 1986, Spiegel & Bloom 1983/

6. Survey results Results of qualitative studies with individual questionnaire & interviews (40 questionnaire fulfilled), conducted among cancer center doctors & nurses, patients and their caregivers and family members Results of qualitative studies with individual questionnaire & interviews (40 questionnaire fulfilled), conducted among cancer center doctors & nurses, patients and their caregivers and family members (À.Ninjbadgar,2004):  No knowledge about psycho-social service for cancer patients (90% of patients’ family members and 20% of doctors/nurses)  Ever have not heard that psycho-social service for cancer patients could improve life quality and life duration (85% of patients’ caregivers & family members, 45% of doctors or nurses)

7. Survey results   Do not know at all about support group actvities: 100% of patients and their families, 90% of doctors and nurses  70% of doctors and nurses considered that capacity should be gained and knowledge and skills for psychological counseling should be taught in medical universities :  Psychological care is very important and necessary: 95% of patients and their families, 75% answered that psychological care is essential right now.

8. Professional team Doctor Psychologist Nurse Social worker Auxillary staff

9. Collaborative activities of professional team  Training / for doctors and nurses in small groups/ À. Psychological service Á. Stress of medical profession  Psychological counseling À. For patients Á. For patients’ families  Regular support group activities among patients

11. Thank you for your attention.