SlideShare ist ein Scribd-Unternehmen logo
1 von 41
Downloaden Sie, um offline zu lesen
Alex Mitchell
                Hon. Senior Lecturer in Psycho-oncology,
                       Leicester Royal Infirmary



alex.mitchell@leicspart.nhs.uk
alex.mitchell@leicspart.nhs.uk                      IPOS Workshop (Sept 2007)
                                                     IPOS Workshop (Sept 2007)
0. Basics
  Types of screening


1. Mood Screening Methods

   How do they compare?


2. Distress Thermometer

   Evidence?


3. Implementing Screening
   Ultra-screening in secondary care
0. Basics
Definition

Screening:
  Short; Easy; some false +ve (low SpS PPV), few false –ve (High
    Sens, NPV)


Diagnosis (case-finding)
  Accurate, Few false +ve or –ve


Rating
  Simple, patient rated, correl. With QoL and other outcomes




                                                        => options
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]

Weitere ähnliche Inhalte

Mehr von Alex J Mitchell

15th IPOS Debate on Screening for Distress by alex_j_mitchell in Rotterdam (N...
15th IPOS Debate on Screening for Distress by alex_j_mitchell in Rotterdam (N...15th IPOS Debate on Screening for Distress by alex_j_mitchell in Rotterdam (N...
15th IPOS Debate on Screening for Distress by alex_j_mitchell in Rotterdam (N...Alex J Mitchell
 
50 slides on Physical health Mental health Comorbidity (ajmitchell Nov2012))
50 slides on Physical health Mental health Comorbidity (ajmitchell Nov2012))50 slides on Physical health Mental health Comorbidity (ajmitchell Nov2012))
50 slides on Physical health Mental health Comorbidity (ajmitchell Nov2012))Alex J Mitchell
 
Alex J Mitchell Alcohol Detection by Clinician (Aug2012)
Alex J Mitchell Alcohol Detection by Clinician (Aug2012)Alex J Mitchell Alcohol Detection by Clinician (Aug2012)
Alex J Mitchell Alcohol Detection by Clinician (Aug2012)Alex J Mitchell
 
Top 10 Fastest Time trial Bikes of 2012
Top 10 Fastest Time trial Bikes of 2012Top 10 Fastest Time trial Bikes of 2012
Top 10 Fastest Time trial Bikes of 2012Alex J Mitchell
 
Illustration of Mental Health Clustering Calculator ajmitchell
Illustration of Mental Health Clustering Calculator ajmitchellIllustration of Mental Health Clustering Calculator ajmitchell
Illustration of Mental Health Clustering Calculator ajmitchellAlex J Mitchell
 
Weight diabetes and metabolic problems in patients taking atypical antipsycho...
Weight diabetes and metabolic problems in patients taking atypical antipsycho...Weight diabetes and metabolic problems in patients taking atypical antipsycho...
Weight diabetes and metabolic problems in patients taking atypical antipsycho...Alex J Mitchell
 
Tour of Britain London Stage (Sept11)
Tour of Britain London Stage (Sept11)Tour of Britain London Stage (Sept11)
Tour of Britain London Stage (Sept11)Alex J Mitchell
 
POCOG - The Future of Psycho-Oncology (Aug 2011)
POCOG - The Future of Psycho-Oncology (Aug 2011)POCOG - The Future of Psycho-Oncology (Aug 2011)
POCOG - The Future of Psycho-Oncology (Aug 2011)Alex J Mitchell
 
Suicide and desire for hastened death (edit)
Suicide and desire for hastened death (edit)Suicide and desire for hastened death (edit)
Suicide and desire for hastened death (edit)Alex J Mitchell
 
Combined PHQ9 and GAD7 (17 items)
Combined PHQ9 and GAD7 (17 items)Combined PHQ9 and GAD7 (17 items)
Combined PHQ9 and GAD7 (17 items)Alex J Mitchell
 
Psychological aspects of cancer care for students 2011 (Apr11)
Psychological aspects of cancer care for students 2011 (Apr11)Psychological aspects of cancer care for students 2011 (Apr11)
Psychological aspects of cancer care for students 2011 (Apr11)Alex J Mitchell
 
[ppt] RCpsych - Failing medical care of psychiatric patients (vMar11)
[ppt] RCpsych - Failing medical care of psychiatric patients (vMar11)[ppt] RCpsych - Failing medical care of psychiatric patients (vMar11)
[ppt] RCpsych - Failing medical care of psychiatric patients (vMar11)Alex J Mitchell
 
Rcpsych Workshop - Depression in medical settings (Mar11)
Rcpsych Workshop - Depression in medical settings (Mar11)Rcpsych Workshop - Depression in medical settings (Mar11)
Rcpsych Workshop - Depression in medical settings (Mar11)Alex J Mitchell
 
The Ant and the Lion - A Parody of NHS management
The Ant and the Lion - A Parody of NHS managementThe Ant and the Lion - A Parody of NHS management
The Ant and the Lion - A Parody of NHS managementAlex J Mitchell
 
COH Online- The future of screening for distress in cancer settings (February11)
COH Online- The future of screening for distress in cancer settings (February11)COH Online- The future of screening for distress in cancer settings (February11)
COH Online- The future of screening for distress in cancer settings (February11)Alex J Mitchell
 
Top 100 Most Cited People in Psychiatry (Mental Health) (Jan 2011) [aka Top 1...
Top 100 Most Cited People in Psychiatry (Mental Health) (Jan 2011) [aka Top 1...Top 100 Most Cited People in Psychiatry (Mental Health) (Jan 2011) [aka Top 1...
Top 100 Most Cited People in Psychiatry (Mental Health) (Jan 2011) [aka Top 1...Alex J Mitchell
 
Top 100 Papers & People in Psychiatry (Jan2011)
Top 100 Papers & People in Psychiatry (Jan2011)Top 100 Papers & People in Psychiatry (Jan2011)
Top 100 Papers & People in Psychiatry (Jan2011)Alex J Mitchell
 
Organizational chart of NHS staffing ratios 1999-2009
Organizational chart of NHS staffing ratios 1999-2009Organizational chart of NHS staffing ratios 1999-2009
Organizational chart of NHS staffing ratios 1999-2009Alex J Mitchell
 
The Iconic Porsche 911 Turbo (1974-2010)
The Iconic Porsche 911 Turbo (1974-2010)The Iconic Porsche 911 Turbo (1974-2010)
The Iconic Porsche 911 Turbo (1974-2010)Alex J Mitchell
 
Farewell to the Iconic Porsche 911 [16mb]
Farewell to the Iconic Porsche 911 [16mb]Farewell to the Iconic Porsche 911 [16mb]
Farewell to the Iconic Porsche 911 [16mb]Alex J Mitchell
 

Mehr von Alex J Mitchell (20)

15th IPOS Debate on Screening for Distress by alex_j_mitchell in Rotterdam (N...
15th IPOS Debate on Screening for Distress by alex_j_mitchell in Rotterdam (N...15th IPOS Debate on Screening for Distress by alex_j_mitchell in Rotterdam (N...
15th IPOS Debate on Screening for Distress by alex_j_mitchell in Rotterdam (N...
 
50 slides on Physical health Mental health Comorbidity (ajmitchell Nov2012))
50 slides on Physical health Mental health Comorbidity (ajmitchell Nov2012))50 slides on Physical health Mental health Comorbidity (ajmitchell Nov2012))
50 slides on Physical health Mental health Comorbidity (ajmitchell Nov2012))
 
Alex J Mitchell Alcohol Detection by Clinician (Aug2012)
Alex J Mitchell Alcohol Detection by Clinician (Aug2012)Alex J Mitchell Alcohol Detection by Clinician (Aug2012)
Alex J Mitchell Alcohol Detection by Clinician (Aug2012)
 
Top 10 Fastest Time trial Bikes of 2012
Top 10 Fastest Time trial Bikes of 2012Top 10 Fastest Time trial Bikes of 2012
Top 10 Fastest Time trial Bikes of 2012
 
Illustration of Mental Health Clustering Calculator ajmitchell
Illustration of Mental Health Clustering Calculator ajmitchellIllustration of Mental Health Clustering Calculator ajmitchell
Illustration of Mental Health Clustering Calculator ajmitchell
 
Weight diabetes and metabolic problems in patients taking atypical antipsycho...
Weight diabetes and metabolic problems in patients taking atypical antipsycho...Weight diabetes and metabolic problems in patients taking atypical antipsycho...
Weight diabetes and metabolic problems in patients taking atypical antipsycho...
 
Tour of Britain London Stage (Sept11)
Tour of Britain London Stage (Sept11)Tour of Britain London Stage (Sept11)
Tour of Britain London Stage (Sept11)
 
POCOG - The Future of Psycho-Oncology (Aug 2011)
POCOG - The Future of Psycho-Oncology (Aug 2011)POCOG - The Future of Psycho-Oncology (Aug 2011)
POCOG - The Future of Psycho-Oncology (Aug 2011)
 
Suicide and desire for hastened death (edit)
Suicide and desire for hastened death (edit)Suicide and desire for hastened death (edit)
Suicide and desire for hastened death (edit)
 
Combined PHQ9 and GAD7 (17 items)
Combined PHQ9 and GAD7 (17 items)Combined PHQ9 and GAD7 (17 items)
Combined PHQ9 and GAD7 (17 items)
 
Psychological aspects of cancer care for students 2011 (Apr11)
Psychological aspects of cancer care for students 2011 (Apr11)Psychological aspects of cancer care for students 2011 (Apr11)
Psychological aspects of cancer care for students 2011 (Apr11)
 
[ppt] RCpsych - Failing medical care of psychiatric patients (vMar11)
[ppt] RCpsych - Failing medical care of psychiatric patients (vMar11)[ppt] RCpsych - Failing medical care of psychiatric patients (vMar11)
[ppt] RCpsych - Failing medical care of psychiatric patients (vMar11)
 
Rcpsych Workshop - Depression in medical settings (Mar11)
Rcpsych Workshop - Depression in medical settings (Mar11)Rcpsych Workshop - Depression in medical settings (Mar11)
Rcpsych Workshop - Depression in medical settings (Mar11)
 
The Ant and the Lion - A Parody of NHS management
The Ant and the Lion - A Parody of NHS managementThe Ant and the Lion - A Parody of NHS management
The Ant and the Lion - A Parody of NHS management
 
COH Online- The future of screening for distress in cancer settings (February11)
COH Online- The future of screening for distress in cancer settings (February11)COH Online- The future of screening for distress in cancer settings (February11)
COH Online- The future of screening for distress in cancer settings (February11)
 
Top 100 Most Cited People in Psychiatry (Mental Health) (Jan 2011) [aka Top 1...
Top 100 Most Cited People in Psychiatry (Mental Health) (Jan 2011) [aka Top 1...Top 100 Most Cited People in Psychiatry (Mental Health) (Jan 2011) [aka Top 1...
Top 100 Most Cited People in Psychiatry (Mental Health) (Jan 2011) [aka Top 1...
 
Top 100 Papers & People in Psychiatry (Jan2011)
Top 100 Papers & People in Psychiatry (Jan2011)Top 100 Papers & People in Psychiatry (Jan2011)
Top 100 Papers & People in Psychiatry (Jan2011)
 
Organizational chart of NHS staffing ratios 1999-2009
Organizational chart of NHS staffing ratios 1999-2009Organizational chart of NHS staffing ratios 1999-2009
Organizational chart of NHS staffing ratios 1999-2009
 
The Iconic Porsche 911 Turbo (1974-2010)
The Iconic Porsche 911 Turbo (1974-2010)The Iconic Porsche 911 Turbo (1974-2010)
The Iconic Porsche 911 Turbo (1974-2010)
 
Farewell to the Iconic Porsche 911 [16mb]
Farewell to the Iconic Porsche 911 [16mb]Farewell to the Iconic Porsche 911 [16mb]
Farewell to the Iconic Porsche 911 [16mb]
 

Kürzlich hochgeladen

Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...Sheetaleventcompany
 
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...GENUINE ESCORT AGENCY
 
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service AvailableCall Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service AvailableJanvi Singh
 
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...khalifaescort01
 
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...vidya singh
 
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeCall Girls Delhi
 
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...Dipal Arora
 
Call Girls Madurai Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Madurai Just Call 9630942363 Top Class Call Girl Service AvailableCall Girls Madurai Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Madurai Just Call 9630942363 Top Class Call Girl Service AvailableGENUINE ESCORT AGENCY
 
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...parulsinha
 
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...BhumiSaxena1
 
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...GENUINE ESCORT AGENCY
 
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...parulsinha
 
Call Girls Hosur Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Hosur Just Call 9630942363 Top Class Call Girl Service AvailableCall Girls Hosur Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Hosur Just Call 9630942363 Top Class Call Girl Service AvailableGENUINE ESCORT AGENCY
 
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...Arohi Goyal
 
Coimbatore Call Girls in Coimbatore 7427069034 genuine Escort Service Girl 10...
Coimbatore Call Girls in Coimbatore 7427069034 genuine Escort Service Girl 10...Coimbatore Call Girls in Coimbatore 7427069034 genuine Escort Service Girl 10...
Coimbatore Call Girls in Coimbatore 7427069034 genuine Escort Service Girl 10...chennailover
 
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls  * UPA...Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls  * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...mahaiklolahd
 
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...Anamika Rawat
 
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...adilkhan87451
 

Kürzlich hochgeladen (20)

Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...
 
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
 
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service AvailableCall Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
 
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...
 
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
 
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
 
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
 
Call Girls Madurai Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Madurai Just Call 9630942363 Top Class Call Girl Service AvailableCall Girls Madurai Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Madurai Just Call 9630942363 Top Class Call Girl Service Available
 
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...
 
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
 
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
 
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
 
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...
 
Call Girls Hosur Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Hosur Just Call 9630942363 Top Class Call Girl Service AvailableCall Girls Hosur Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Hosur Just Call 9630942363 Top Class Call Girl Service Available
 
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
 
Coimbatore Call Girls in Coimbatore 7427069034 genuine Escort Service Girl 10...
Coimbatore Call Girls in Coimbatore 7427069034 genuine Escort Service Girl 10...Coimbatore Call Girls in Coimbatore 7427069034 genuine Escort Service Girl 10...
Coimbatore Call Girls in Coimbatore 7427069034 genuine Escort Service Girl 10...
 
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls  * UPA...Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls  * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
 
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
 
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
 

IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]

  • 1. Alex Mitchell Hon. Senior Lecturer in Psycho-oncology, Leicester Royal Infirmary alex.mitchell@leicspart.nhs.uk alex.mitchell@leicspart.nhs.uk IPOS Workshop (Sept 2007) IPOS Workshop (Sept 2007)
  • 2. 0. Basics Types of screening 1. Mood Screening Methods How do they compare? 2. Distress Thermometer Evidence? 3. Implementing Screening Ultra-screening in secondary care
  • 4. Definition Screening: Short; Easy; some false +ve (low SpS PPV), few false –ve (High Sens, NPV) Diagnosis (case-finding) Accurate, Few false +ve or –ve Rating Simple, patient rated, correl. With QoL and other outcomes => options