A comprehensive psychooncological service was implemented at a hospital for acute care in Herford/Germany (Klinikum Kreis Herford, KKH), supported by the SULO Foundation. The basic conception includes care for patients and relatives as well as psychosocial training for doctors and staff from the very beginning in order to combine ‘top-down’ and ‘bottom-up’ strategies. To achieve need-oriented care, the project started with the assessment of the patient’s needs. The results confirm expectations of the patients in psychooncology, in general with respect to support of coping, but also with respect to a close co-operation with the somatic caregivers. Among the particular methods patients want, especially psychosocial aftercare, psychological pain treatment, social counselling as well as groups for relaxation training and rehabilitation sports are rated as important. Need was also assessed in terms of making use of psychooncological care. The basic documentation shows in a 2-year experience (on average with 2 psycho-social caregivers) 1,747 contacts with 516 cancer patients. The main reasons for psychooncological intervention were coping deficits, depressive reactions, anxiety, adaptational disorders, and compliance problems. Overall, it could be clearly confirmed that there is a considerable need for psychosocial care, and cancer patients indeed make use of it.

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