Department of Clinical Genetics, Guys and St Thomas' NHS Foundation Trust, 7th floor, Borough Wing, Guy's Hospital, Great Maze Pond, London, SE1 9RT, UK.
Eur J Hum Genet. 2022 Aug;30(8):955-959. doi: 10.1038/s41431-022-01112-y. Epub 2022 May 16.
The Genetics service at Guy's hospital has dedicated in-house psychology provision aimed at supporting patients embarking on genetic testing through to coping with the aftermath of genetic diagnoses. This provision offers assessment and intervention within a brief 6-session therapy model and provides a range of therapeutic approaches. Patient satisfaction with the service is high and referral rates have greatly increased over the recent years. The Psychology Team also provides indirect support for patients as well as support for the Genetics Team such as contributing to MDT and informal case discussions, as well as teaching and training clinicians about psychological concepts. There are many advantages to having an embedded psychology service both for patients and genetics clinicians, such as good opportunities for liaising around referrals and conducting joint clinical sessions, as well as being easily able to identify psychological training needs. The service plans to further develop by offering group interventions and training opportunities to doctoral psychology trainees. We conclude that clinical psychologists can play a highly integral and essential role in the provision of psychosocial support for clinical genetics teams and provide an overview of the first such integrated clinical psychology service within clinical genetics in the United Kingdom.
盖伊医院的遗传服务部门提供内部心理学服务，旨在为接受基因检测的患者提供支持，帮助他们应对基因诊断的结果。该服务提供了一个简短的 6 次治疗模式的评估和干预，并提供了一系列的治疗方法。患者对该服务的满意度很高，近年来转介率大大增加。心理团队还为患者提供间接支持，为遗传团队提供支持，例如为 MDT 和非正式病例讨论做出贡献，以及向临床医生传授和培训心理概念。对于患者和遗传临床医生来说，拥有一个嵌入式的心理学服务有很多好处，例如在转介和联合临床会议方面有很好的机会进行联络，并且能够很容易地确定心理培训需求。该服务计划通过为博士级心理学受训人员提供团体干预和培训机会来进一步发展。我们的结论是，临床心理学家可以在为临床遗传学团队提供社会心理支持方面发挥高度综合和至关重要的作用，并概述了英国首个此类综合临床心理学服务。
