UNASSIGNED: 218 Background: The Rhode Island Hospital Comprehensive @entity5 Center (RIH-CCC) sought to develop collaboration between psychiatry and social work to ensure comprehensive mental health care for the Centers' adult @entity1 . New @entity1 are screened for distress using the NCCN Screening Tool for Measuring Distress. The NCCN Distress Thermometer measures @entity1 's distress using a 0-10 scale and documents the contributing psychosocial factors. The @entity5 Center, in collaboration with psychiatry, developed standards for follow-up care. Those @entity1 who indicate their distress as 4-7 are contacted by social work within 3 business days. The @entity1 who identify their distress as 8-10 have social work follow up within 1 business day. METHODS: The RIH-CCC mental health team consists of 4 full time clinical social workers and 2 psychiatrists. The social workers receive the @entity1 's distress scale after which they complete a comprehensive psychosocial assessment and develop a plan of care based on the urgency and complexity of the required interventions. The @entity1 who require @entity146 evaluation are scheduled by the social work team to meet with the RIH-CCC psychiatrist for further assessment and evaluation. RESULTS: Data was analyzed for the quarter of November 2014 to January 2015. The Center evaluated 1033 new @entity1 . Of those, 119 completed a distress thermometer indicating a level of distress greater than 4 (average score of 6.6). Of the 119 @entity1 seen by social work, 88 (74%) were in need of follow up care which often included further assessment by the on-site psychiatrists. CONCLUSIONS: @entity308 is estimated to occur in approximately 25-30% of adult @entity5 @entity1 . Untreated and undiagnosed distress can have an adverse effect on @entity5 treatment. Our Centers' results indicate that a significant number of those @entity1 who identified as distressed were in need of further @entity146 evaluation and treatment. The strong collaborative relationship between on-site psychiatry and clinical social work promote early access and intervention to this challenged population.

Addressing @entity146 needs in an adult comprehensive XXXX center.

@entity5 :: ('MESH:D009369', 'Disease') :: ['cancer', 'Cancer'] @entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity308 :: ('MESH:D003866', 'Disease') :: ['Depression'] @entity146 :: ('MESH:D001523', 'Disease') :: ['psychiatric']
@entity5 :: (MESH:D009369,Disease) :: ['cancer']
