Background

Goals of psychosocial screening include careful assessment and identification of potential modifiable factors that can affect successful delivery of care before, during, and after organ transplantation. Evaluation of the patient's comorbid psychiatric conditions, history of alcohol, tobacco, and other substance use, cognitive functioning, motivation, coping skills, and ability to collaborate with the transplant team and adhere to treatment recommendations provides valuable information for treatment planning.

Methods

Several screening tools have been introduced over the years in an effort to standardize the assessments, manage candidate selection bias, and establish consistency. The Stanford Integrated Psychosocial Assessment for Transplantation (SIPAT) can be effectively used as a standalone tool or within the context of a comprehensive assessment, with cut-off decision points reflecting the individual center's experience and transplant candidate selection threshold criteria.

Clinical Bias

Patients with complex chronic medical and comorbid psychiatric conditions represent a challenging group with higher resource utilization, an increased risk of hospital readmission, and challenges with posttransplant treatment adherence. A majority of these patients are seen in the physical outpatient setting with limited or no mental health care availability.

Conclusions

Introduction of an integrated care post-organ-transplantation model with psychosocial assessment of biological, psychological, social, and health system domains can offer unique opportunities to evaluate the individual's vulnerability and provide comprehensive quality care, timely intervention, and value-added integration of medical and mental health services.

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Background

Goals of psychosocial screening include careful assessment and identification of potential modifiable factors that can affect successful delivery of care before, during, and after organ transplantation. Evaluation of the patient's comorbid psychiatric conditions, history of alcohol, tobacco, and other substance use, cognitive functioning, motivation, coping skills, and ability to collaborate with the transplant team and adhere to treatment recommendations provides valuable information for treatment planning.

Methods

Several screening tools have been introduced over the years in an effort to standardize the assessments, manage candidate selection bias, and establish consistency. The Stanford Integrated Psychosocial Assessment for Transplantation (SIPAT) can be effectively used as a standalone tool or within the context of a comprehensive assessment, with cut-off decision points reflecting the individual center's experience and transplant candidate selection threshold criteria.

Clinical Bias

Patients with complex chronic medical and comorbid psychiatric conditions represent a challenging group with higher resource utilization, an increased risk of hospital readmission, and challenges with posttransplant treatment adherence. A majority of these patients are seen in the physical outpatient setting with limited or no mental health care availability.

Conclusions

Introduction of an integrated care post-organ-transplantation model with psychosocial assessment of biological, psychological, social, and health system domains can offer unique opportunities to evaluate the individual's vulnerability and provide comprehensive quality care, timely intervention, and value-added integration of medical and mental health services.

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Methodist Journal

IN THIS ISSUE

Nutritional Supplements and the Heart

Vol 15, Issue 3 (2019)


FEATURED GUEST EDITOR

ISSUE INTRO

Dietary Supplements: Facts and Fallacies

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RECOGNITIONS

Drs. Raizner and Cooke Take the Lead in Special Issue on Supplements

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REVIEW ARTICLES See More

Recent Clinical Trials Shed New Light on the Cardiovascular Benefits of Omega-3 Fatty Acids

Supplemental Vitamins and Minerals for Cardiovascular Disease Prevention and Treatment

Coenzyme Q10

Red Yeast Rice for Hypercholesterolemia

Inorganic Nitrate Supplementation for Cardiovascular Health

Vitamin D and Calcium Supplements: Helpful, Harmful, or Neutral for Cardiovascular Risk?

Cardiovascular Risk of Proton Pump Inhibitors

Advanced Cardiac Imaging for Complex Adult Congenital Heart Diseases

CASE REPORTS See More

A Rare Case of Pancreatitis-Induced Thrombosis of the Aorta and Superior Mesenteric Artery

Anomalous Origin of the Right Coronary Artery from the Left Main Coronary Artery in the Setting of Critical Bicuspid Aortic Valve Stenosis

Simultaneous Transfemoral Mitral and Tricuspid Valve in Ring Implantation: First Case Report with Edwards Sapien 3 Valve

Uneventful Follow-Up 2 Years after Endovascular Treatment of a High Flow Iatrogenic Aortocaval Fistula Causing Pulmonary Hypertension and Right Heart Failure

MUSEUM OF HMH MULTIMODALITY IMAGING CENTER See More

Snoopy’s Heart: A Case of Complete Congenital Absence of the Pericardium

CLINICAL PERSPECTIVES See More

POINTS TO REMEMBER

Herbal Nephropathy

EXCERPTA

Rolling the Dice on Red Yeast Rice

POINTS TO REMEMBER

The Kidney in Congenital Cyanotic Heart Disease

EXCERPTA

Talking Statins with Antonio Gotto

EDITORIALS

Letter to the Editor in Response to “Cardiac Autonomic Neuropathy in Diabetes Mellitus”