Saturday 26 November 2016

ADA’s first position statement on psychosocial care for people with diabetes

ADA’s first position statement on psychosocial care for people with diabetes It is well known that psychosocial factors, which include environmental, social, behavioral, and emotional factors, affect diabetes, both type 1 and type 2. The American Diabetes Association (ADA) has released its first Position Statement on ‘Psychosocial care for people with diabetes’, which encourages comprehensive, personalized mental health assessment and treatment as part of routine care of diabetes and recommends care based on factors like age, type of diabetes and family support system. The most common psychological factors affecting people with diabetes, including diabetes distress, depression, and anxiety and eating disorders are covered in the guidelines. The emotional health and life circumstances of a person with diabetes should be evaluated during an initial visit followed by examinations at regular intervals for timely diagnosis and management. Few key recommendations are: • Psychosocial care should be integrated with collaborative, patient-centered medical care and provided to all people with diabetes, with the goals of optimizing health outcomes and health-related quality of life. • Providers should consider an assessment of symptoms of diabetes distress, depression, anxiety, and disordered eating and of cognitive capacities using patient-appropriate standardized/validated tools at the initial visit, at periodic intervals, and when there is a change in disease, treatment, or life circumstance. Including caregivers and family members in this assessment is recommended. • Consider assessment of life circumstances that can affect physical and psychological health outcomes and their incorporation into intervention strategies. • Addressing psychosocial problems upon identification is recommended. If an intervention cannot be initiated during the visit when the problem is identified, a follow-up visit or referral to a qualified behavioral health care provider may be scheduled during that visit. The position statement was published online November 22, 2016 and is to be published in the December 2016 issue of the journal Diabetes Care. (Source: Diabetes Care, ADA Press Release November 22, 2016)

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