Psychosocial Oncology Disparities: Treating the Whole Person in Rural Indigenous Communities

Niesen Smith
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Abstract

s In recent years, psychosocial services have been viewed as paramount in treating cancer, yet disparities exist in psychosocial services for rural cancer patients. Using ecological theory, cancer care focuses on more than medical intervention, favoring treatment of the “whole” person. For Indigenous people experiencing cancer, responsive psychosocial interventions and practice frameworks are needed to address health-related distress. Using the intersection of diversity and environment, this conceptual paper provides a review of literature on the topic of cancer care with Indigenous people living in rural areas and furthermore argues that social workers, given educational experiences and practice frameworks, are essential culturally-responsive providers of psychosocial oncology services. Social workers must be utilized and mobilized as health care leaders in order to improve quality of life by advocating for culturally responsive, equitable services for people confronting cancer. Social workers have knowledge and skills to be front-line providers, service mobilizers, and program developers of culturally-responsive psychosocial oncology services.
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社会心理肿瘤学差异:在农村土著社区治疗整个人
近年来,社会心理服务被视为治疗癌症的最重要手段,但农村癌症患者的社会心理服务存在差异。利用生态学理论,癌症护理关注的不仅仅是医疗干预,而是对“整个”人的治疗。对于患有癌症的土著人民,需要有反应性的心理社会干预措施和实践框架,以解决与健康有关的痛苦。利用多样性和环境的交集,这篇概念性论文提供了对生活在农村地区的土著居民癌症护理主题的文献回顾,并进一步认为,社会工作者,鉴于教育经验和实践框架,是必不可少的文化响应的社会心理肿瘤学服务提供者。必须利用和动员社会工作者作为保健领导者,通过倡导为癌症患者提供符合文化要求的公平服务,提高生活质量。社会工作者拥有知识和技能,可以成为一线提供者、服务动员者和文化响应性心理社会肿瘤学服务的项目开发人员。
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