Validated Distress Screening Tools Items Time min Brief

Validated Distress Screening Tools Items Time (min) Brief Symptom Inventory (BSI-18) 18 3– 5 Somatization, depression, anxiety, general distress Cancer. Support. Source. SM 25 5 -10 Distress Thermometer (DT) & Problem List 1 2– 3 Distress and problems related to the distress Edmonton Symptom Assessment System 9 2 -3 Symptoms Hospital Anxiety and Depression Scale (HADS) 14 5– 10 Symptoms of clinical depression and anxiety PHQ-9 9 5 -10 Anxiety and depression Psychological Distress Inventory 13 5 -10 Psychological functioning (incl. coping) Psychosocial Screen for Cancer (PSSCAN) 21 10 -15 General Distress Support. Screen 53 15 -20 Psychosocial needs Zung Self-Rating Depression Scale 20 5– 10 Symptoms of depression Constructs Measured

“Distress extends along a continuum, ranging from common normal feelings of vulnerability and sadness to problems that can be disabling, such as depression, anxiety, panic, social isolation and existential and spiritual crisis. ” National Comprehensive Cancer Network: 1999, 2001, 2004, 2007, 2010

Prevalence rates for significant levels of distress in patients with cancer range from 22% to 58% NCI’s Adjustment to Cancer: Anxiety and Distress (PDQ®)

Distress Management Goals & Outcomes • Reduce/eliminate barriers that impact treatment adherence • Enhance satisfaction with care and quality of life • Improve staff-patient communication/trust • Reduce unnecessary telephone calls/visits • Better treatment outcomes as fewer patients become distressed to the point of interrupting treatment

Psychosocial Distress Screening Process Summary • Choose or create a screening tool(s) and delivery method • Establish a threshold/cutoff and use screening results to triage patients for further evaluation and care • Distribute resources and information to all patients • Document gaps in resources & determine the options for addressing those gaps (Std 3. 1) • Designate the healthcare team available to do a full assessment for those who fall above threshold/cutoff • Assess, intervene & follow-up on those patients in need & document their care and follow-up • Psychosocial Service Representative reports to the cancer committee and discusses the screening and care delivery process with surveyor