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Psychological evaluation of pediatric patients

With pediatric transplant candidates, eligibility is assessed of both patients and parents. This, according to the PSITO [National Psychological and Psychiatric Organ Transplant Taskforce] guidelines, is done to:
Facilitate the parents' consent to the intervention and children's active participation defining critical points and available resources.
Facilitate the collaboration to treatment (therapeutic alliance) in pre- and post-transplant phase.
Plan support measures for critical areas of parents and children.

Psychological evaluation of living donor transplant patients

The psychological evaluation of a potential donor must be carried out before any other examination to assess potential hidden psychic disorder that may hinder the donation. The donor must be fully aware of all the risks involved. The psychologist assesses the patient's degree of awareness reached. Another important aspect of the psychological evaluation is the definition of any potential psycho-social pressure (coercion) in the donor's family that may harm him/her. In this regard, an interview with a magistrate is required by the Italian law to assess the spontaneity of the donation and the lack of any external conditioning/coercion.
NOTE: In case of a living donation to a pediatric patient the evaluation is carried out on donor, young recipient and his/her parents (National Guidelines).
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