Consensus-based recommendation for surveillance of psychosocial problems

This page is part of the PanCare follow-up recommendations for surveillance of late effects. Click here, for more information on these recommendations.

Who is at risk for psychosocial problems?

All CAYA survivors are at risk for psychosocial problems

What psychosocial problems might occur?

  • Dependent living

  • Educational problems
  • Relationship problems
  • Social withdrawal
  • Under-employment or unemployment

What surveillance modality should be used and at what frequency should it be performed?

All CAYA cancer survivors:

  • A history focused on educational and/or vocational progress or decline and social withdrawal
    at least every 2 years in survivors ≤ 18 years of age, and at least every 5 years in survivors > 18 years of age

What should be done if abnormalities are identified?

  • Refer to a psychologist for further diagnostic testing and treatment
  • Refer to appropriate social work or educational professionals as required