{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T15:04:21Z","timestamp":1789311861175,"version":"build-2803163510"},"reference-count":34,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T00:00:00Z","timestamp":1788998400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      The 3\n                      <jats:sup>rd<\/jats:sup>\n                      Cleft Summit examined whether and how cleft teams assess the psychosocial impact of facial differences on children and their families and sought to develop actionable strategies for improving psychosocial outcomes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Expert consensus study followed by a descriptive cross-sectional survey.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>A 2-hour summit held during a three-and-a-half-day international Comprehensive Cleft Care Workshop in Cartegena, Colombia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>A total of 117 cleft care professionals, from 35 different countries, and representing diverse specialties completed the post-summit survey.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Activity\/Survey<\/jats:title>\n                    <jats:p>Participants engaged in an iterative interdisciplinary discussion addressing responsible psychosocial assessment and implementation across resource settings. A 38-item survey evaluated mental health screening and patient-reported outcome measure (PROM) practices, institutional capacity, and training needs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Summit and Survey Outcomes<\/jats:title>\n                    <jats:p>Expert consensus recommendations, current assessment practices, implementation capacity, and training needs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Participants reached consensus supporting psychosocial data collection when teams can protect privacy, respond appropriately to findings, and consider cultural context. Mental health screening was reported by 41% of respondents, and PROM collection was reported by 29.9%. Implementation capacity was moderate, generally ranging from 5 to 6 on a 10-point scale, and differed significantly across resource tiers (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u20090.05). Financial and resource availability received the lowest ratings. Training needs were high across tiers for mental health screening and basic psychosocial support (means, 6.6-7.0) and PROM implementation (means &gt;6.4).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      The 3\n                      <jats:sup>rd<\/jats:sup>\n                      Cleft Summit endorses capacity-driven psychosocial assessment and mental health training for non-specialist providers. Survey findings demonstrate current gaps and inform next steps toward advancing global comprehensive psychosocial cleft care.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656261486572","type":"journal-article","created":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T13:52:01Z","timestamp":1789048321000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Cleft Summit 2025: How to Ensure Psychosocial Assessments Actually Improve the Lives of Children with Cleft Lip and\/or Palate"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-0626-720X","authenticated-orcid":false,"given":"Dana","family":"Andari","sequence":"first","affiliation":[{"name":"Global Smile Foundation, Norwood, MA, USA"},{"name":"University of California Irvine School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raj","family":"Vyas","sequence":"additional","affiliation":[{"name":"Global Smile Foundation, Norwood, MA, USA"},{"name":"University of California Irvine School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9467-2531","authenticated-orcid":false,"given":"Roland","family":"Assaf","sequence":"additional","affiliation":[{"name":"Global Smile Foundation, Norwood, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-2976-265X","authenticated-orcid":false,"given":"Amal","family":"Halwani","sequence":"additional","affiliation":[{"name":"Global Smile Foundation, Norwood, MA, USA"},{"name":"University of California Irvine School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-5081-5400","authenticated-orcid":false,"given":"Tamara","family":"Rodriguez-Rugel","sequence":"additional","affiliation":[{"name":"Global Smile Foundation, Norwood, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-4495-0608","authenticated-orcid":false,"given":"Giuliana","family":"Roggiero","sequence":"additional","affiliation":[{"name":"Global Smile Foundation, Norwood, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4140-201X","authenticated-orcid":false,"given":"Elsa","family":"Chahine","sequence":"additional","affiliation":[{"name":"Tufts Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beyhan","family":"Annan","sequence":"additional","affiliation":[{"name":"Global Smile Foundation, Norwood, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2218-6446","authenticated-orcid":false,"given":"Martin","family":"Persson","sequence":"additional","affiliation":[{"name":"Kristianstad University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruben","family":"Ayala","sequence":"additional","affiliation":[{"name":"Operation Smile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2973-0683","authenticated-orcid":false,"given":"Joseph","family":"Losee","sequence":"additional","affiliation":[{"name":"University of Pittsburgh School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3654-7262","authenticated-orcid":false,"given":"Usama","family":"Hamdan","sequence":"additional","affiliation":[{"name":"Global Smile Foundation, Norwood, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"The Cleft Summit 2025 Consortium","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,10]]},"reference":[{"key":"e_1_3_3_2_2","volume-title":"World mental health today: latest data","author":"WH Organization","year":"2025","unstructured":"WH Organization. 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