To increase awareness and understanding of how psychology, social work, and child
life specialties can integrate into interdisciplinary pediatric urology care. To advocate
for increased access to psychology, social work, and child life specialty care in
other pediatric urology care centers.
Authors participated in a series of discussion groups to develop the aim and goals
for this study and identify patients that would best exemplify the interdisciplinary
nature of care provided. Initially, fifteen patients were selected; further focused
discussion groups supported the selection of 6 patients that are described in this
Authors present a series of 6 case studies aimed to illustrate the interdisciplinary
support available to pediatric urology patients in 1 tertiary care center. Cases review
a range of presenting issues, including a patient learning clean intermittent catheterization
(CIC), a patient resistant to surgical intervention, patients with bowel and bladder
dysfunction, a patient undergoing voiding cystourethrogram (VCUG), and a patient with
urinary frequency, all of whom presented with a range of psychosocial needs that impacted
their urological treatment.
Access to a psychosocial support staff can improve adherence to medical treatment
by reducing barriers to care and promoting behavioral change, support patients in
coping and reducing post-traumatic stress following surgery and invasive procedures,
improve communication between patients, families, and medical staff, and treat psychological
issues that contribute to urinary symptoms. Additional literature exploring how these
interventions reduce costs associated with medical intervention, hospitalizations,
outpatient visits, emergency visits, and sedation for procedures would be beneficial.