Curing cancer, from a biomedical standpoint, is now possible, argues TIME Magazine writer Bill Saporito (2013), and is born from our philosophical beliefs about health care and from the practice of team-based, collaborative care. A bold claim, to be sure, but the truth of his claim depends on the meaning of the word "cure”. There are actually multiple meanings for the word "cure”. Saporito posits this: a cure for cancer is available, but is not simple to produce, nor easy to obtain. Still, it is possible, he says, and what makes it so is the harnessing of a collaborative approach by medical professionals from multiple disciplines.
In Saporito’s article, he writes that cancer "dream teams” can now effectively target and treat cancer, resulting in better and faster results that with more traditional biomedical care may not occur. What lays at the heart of these dream teams is collaborative care. Teams consist of professionals from various disciplines, all working together to help patients in a focused and targeted way. Each member has a purpose and a place and no corners are cut if it means even a chance at a slightly less favorable outcome for the patient. Saporito points out in his article the need to "upend tradition” in order to improve health care overall, not just for cancer. Today, people are living longer and chronic diseases (e.g., asthma, diabetes) are more common than infectious diseases (e.g., influenza, pneumonia). Traditional care that was focused on curing and removing disease may not be adequate for the long, drawn-out battles of chronic disease management. The need to change the way we treat diseases is growing, and it is time, as Saporito states, to part ways with traditional care that is only biomedical.
|Perhaps there is something to glean from these cancer "dream teams”. Behavioral health care professionals, who offer biopsychosocial-spiritual care, are uniquely positioned to work alongside other health professionals in support of treatment. Teams of support professionals that work as well as the direct patient care teams that Saporito writes about already exist. At Duke University Hospital, Dr. Cheyenne Corbett, Director of The Duke Cancer Patient Support Program (DSPSP), leads a team of professionals from various disciplines. Though Dr. Corbett’s team is built to provide support rather than direct treatment for cancer, she and her staff take the same approach to health that the dream teams Saporito writes about use.||The need to change the way we treat diseases is growing|
Recently, I had the opportunity to co-present with Dr. Corbett at a doctoral class of mine on childhood and adolescent cancers during which Dr. Corbett augmented my presentation with information on adult cancers, the main focus of the DCPSP. Further, she provided our class with an in-depth look at her team, how she operates, and why the DCPSP is accomplishing its mission "to create a humanistic environment for adults with cancer, as well as their family members, during the stress entailed in diagnosis, treatment, and after-care.”
Dr. Corbett, a trained marriage and family therapist, has a unique understanding of what it takes to support cancer patients to produce better outcomes for them. She and her team have the primary responsibility of acting as liaisons between patients and medical staff, providing hospitality to patients and families in exam rooms, and advocating for patients by helping them understand the resources available to them, including all of the services the DCPSP provides. If a patient wants family involved or a close friend to be nearby to provide support, the team works to make it happen. Professionals work as a team and check in with one another to ensure good care for patients. They look for gaps in patient care and work to close those gaps. The DCPSP is set up to take advantage of the collaborative view of problem-solving. Family is incorporated at every step along the way, and services such as family therapy are provided as part of care. Duke has a new cancer treatment center where the DCPSP is housed and even the building design was made to keep families together and to keep patients at the center of treatment.
Collaborative care, as Saporito writes, is becoming a vital part of healthcare not only between professionals but between patients and providers. As biopsychosocial providers, we should consider taking a look at how are we are encouraging family involvement and cross-disciplinary collaboration in our respective settings. If you are a patient or a family member, you may want to consider how you can advocate for cross-discipline collaboration in your treatment or the treatment of your loved one, and how you can stay involved in the overall treatment and support of your family member or friend who is a patient. These considerations allow us to examine if we are working in a way that is actually collaborative.
Saporito, B. (2013). The conspiracy to end cancer. April 1st, 2013, TIME Magazine. Retrieved from http://healthland.time.com/2013/04/01/the-conspiracy-to-end-cancer/
|Joshua Fowler is a recent graduate of the marriage and family therapy masters program at East Carolina University. |