Facilitating Positive Psychosocial Outcomes in Craniofacial Team Care: Strategies for Medical Providers

Stock, Nicola Marie; Marik, Patricia; Magee, Leanne; Aspinall, Cassandra L; Garcia, Laura; Crerand, Canice; Johns, Alexis L

Abstract

© 2019, American Cleft Palate-Craniofacial Association. Objective: Psychosocial issues associated with craniofacial diagnoses and the ongoing burden of care can impact the quality of life of patients and families, as well as treatment adherence and outcomes. Utilizing available literature and clinical expertise across 6 centers, the present article summarizes key psychosocial issues for the benefit of nonmental health medical providers and offers suggestions as to how all members of craniofacial teams can promote positive psychosocial outcomes. Results: Family adjustment across developmental phases is outlined, with strategies to support adaptive parental coping. Teasing is a common concern in craniofacial populations and medical providers can promote coping and social skills, as well as link families to mental health services when needed. Academic issues are described, alongside suggestions for medical providers to assist families with school advocacy and ensure access to appropriate services within the school setting. Medical providers are key in preparing patients and families for surgery, including consideration of medical, social, and logistical supports and barriers. As craniofacial care spans infancy to adulthood, medical providers are instrumental in assisting patients and families to navigate treatment transition periods. In addition to ongoing clinical team assessments, medical providers may utilize screening measures to identify and track patient and family adjustment in multiple areas of team care. Conclusions: Multidisciplinary providers play an important role in supporting positive adjustment in patients affected by craniofacial conditions and their families.

• Journal Article Type: Article
• Acceptance Date: Jul 1, 2019
• Online Publication Date: Aug 25, 2019
• Publication Date: Mar 1, 2020
• Deposit Date: Jul 25, 2019
• Publicly Available Date: Jul 25, 2019
• Journal: Cleft Palate-Craniofacial Journal
• Print ISSN: 1055-6656
• Electronic ISSN: 1545-1569
• Publisher: SAGE Publications
• Peer Reviewed: Peer Reviewed
• Volume: 57
• Issue: 3
• Pages: 333-343
• DOI: https://doi.org/10.1177/1055665619868052
• Keywords: Psychosocial adjustment; Quality of life; Health Policies; craniofacial; visible difference
• Public URL: https://uwe-repository.worktribe.com/output/1719154
• Publisher URL: https://journals.sagepub.com/home/cpc
• Contract Date: Jul 25, 2019