{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,8]],"date-time":"2026-08-08T23:06:48Z","timestamp":1786230408382,"version":"build-2736575974"},"reference-count":39,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T00:00:00Z","timestamp":1776384000000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100008363","name":"Danish Cancer Society","doi-asserted-by":"publisher","award":["R347\u2010A19824"],"award-info":[{"award-number":["R347\u2010A19824"]}],"id":[{"id":"10.13039\/100008363","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100008363","name":"Danish Cancer Society","doi-asserted-by":"publisher","award":["R296\u2010A16893"],"award-info":[{"award-number":["R296\u2010A16893"]}],"id":[{"id":"10.13039\/100008363","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007403","name":"Dagmar Marshalls Fond","doi-asserted-by":"publisher","award":["5000020"],"award-info":[{"award-number":["5000020"]}],"id":[{"id":"10.13039\/100007403","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Patients with pre\u2010existing severe mental disorders (SMD) face barriers to optimal cancer treatment. Structured interventions may improve care, but knowledge about their feasibility in daily clinical practice is needed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To assess the feasibility of the CASEMED Model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This mixed\u2010methods feasibility study was conducted at Aarhus University Hospital and included patients with pre\u2010existing SMD and breast, lung, or head and neck cancer. The intervention components included early detection of psychiatric comorbidity, screening for physical and psychiatric symptoms, involvement of caregivers, continuity, education, and enhanced cross\u2010sector collaboration through an onco\u2010psychiatric multidisciplinary team conference (opMDT). Data were collected from patient records and interviews focusing on intervention delivery, acceptability, burden, unintended consequences, and mechanisms of change.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 27 eligible patients, 23 (85%) participated. Patients had breast (48%), lung (26%), or head and neck cancer (26%) and were diagnosed with moderate to severe depression (65%), bipolar affective disorders (26%), or schizophrenia and other psychotic disorders (9%). Overall, the intervention was feasible and well\u2010accepted, with minimal burden reported. It facilitated a multidisciplinary approach, patient\u2010centered care and cross\u2010sector collaboration. The main implementation barriers included difficulties identifying the appropriate target population, lengthy questionnaires, lack of continuity among oncological professionals, and low general practitioner participation in opMDTs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This feasibility study demonstrates that the CASEMED Model is acceptable and feasible, with a low level of burden and few implementation barriers. The intervention facilitated a multidisciplinary approach with potential to enhance cancer care. Further research is needed to confirm its effectiveness and generalizability in other healthcare settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.70449","type":"journal-article","created":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T18:09:32Z","timestamp":1776449372000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Feasibility of a Supportive Cancer Care Intervention for Patients With Pre\u2010Existing Severe Mental Disorders\u2014The CASEMED Model"],"prefix":"10.1002","volume":"35","author":[{"given":"Louise Elkj\u00e6r","family":"Fl\u00f8e","sequence":"first","affiliation":[{"name":"Department of Oncology Aarhus University Hospital  Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Mygind","sequence":"additional","affiliation":[{"name":"Research Unit for General Practice  Aarhus Denmark"},{"name":"Department of Public Health Aarhus University  Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jesper Grau","family":"Eriksen","sequence":"additional","affiliation":[{"name":"Department of Oncology Aarhus University Hospital  Aarhus Denmark"},{"name":"Department of Clinical Medicine Aarhus University  Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Poul","family":"Videbech","sequence":"additional","affiliation":[{"name":"Center for Neuropsychiatric Depression Research Mental Health Center Glostrup  Glostrup Denmark"},{"name":"Department of Clinical Medicine University of Copenhagen  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Lisa Martins","family":"Carmo","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Aarhus University Hospital  Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David Dines Gaardmand","family":"J\u00f8rgensen","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Aarhus University Hospital  Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Azza Ahmed","family":"Khalil","sequence":"additional","affiliation":[{"name":"Department of Oncology Aarhus University Hospital  Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanne Melgaard","family":"Nielsen","sequence":"additional","affiliation":[{"name":"Department of Oncology Aarhus University Hospital  Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Trine","family":"Brogaard","sequence":"additional","affiliation":[{"name":"Gellerup Medical Practice  Brabrand Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3309-5838","authenticated-orcid":false,"given":"Mette Asbjoern","family":"Neergaard","sequence":"additional","affiliation":[{"name":"Department of Oncology Aarhus University Hospital  Aarhus Denmark"},{"name":"Department of Clinical Medicine Aarhus University  Aarhus Denmark"},{"name":"Section for Specialist Palliative Care Department of Oncology Aarhus University Hospital  Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,17]]},"reference":[{"key":"e_1_2_11_2_1","first-page":"34","volume-title":"WHO Guidelines: Management of Physical Health Conditions in Adults With Severe Mental Disorders","year":"2018"},{"key":"e_1_2_11_3_1","volume-title":"Tal Og Fakta Om Psykisk Sygdom I Danmark","author":"Olsen R. 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