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addition to a psychosocial care need are detected, the rehabilitation specialist is called on to assess any connection between them and to determine which discipline is required.\u000DThe VAS fatigue score, a VAS of 0-10 with cut-off point \u22654, offers a good first indication of the level of fatigue. Additional clinimetrics in terms of fatigue are performed by the department of Physiotherapy, using the MVI (\u2018Multidimensionele Vermoeidheid Index\u2019 or Multidimensional Fatigue Index) and the PSK (\u2018Pati\u00EBnt Specifieke klachtenlijst\u2019 or Patient-specific Problem List).\u000DIn a conversation with the patient the case manager further explores the problems indicated on the Distress thermometer and the questionnaire scores. Based on the cut-off points and the conversation the case manager determines and reports on the severity of the problems and/or the level of problems (single / multiple issue). With single-issue problems (one domain) the patient is referred internally or externally to allied health disciplines including, if necessary, discussion with the allied health disciplines or rehabilitation specialist concerned. With multiple/complex problems patients are referred to the rehabilitation specialist.\u000DOn the basis of screening outcomes and additional medical anamnesis, the rehabilitation specialist determines together with the patient which rehabilitation modules and allied health disciplines will be called into action.\u000D5.2.3. Effectiveness\u000DThere are few studies aimed specifically at evaluating the role of the case manager. There is some evidence that case management can have a positive effect on perceived quality of life (Wiederholt, Connor et al. 2007, Bachmann-Mettler, Steurer-Stey et al. 2011). In a study by Wiederholt et al., the role of the case manager in the rehabilitation of head and neck cancer is assessed. The researchers report that the case manager has added value in improving communication between the disciplines involved and in improving the quality of patient-centred care. However, in many of the institutions offering oncological rehabilitation case management is rarely applied (Bachmann-Mettler, Steurer- Stey et al. 2011). The evaluation of the current head and neck rehabilitation programme (HNR) in 2015 (Passchier, Stuiver et al. 2016) shows that the cohort of HNR patients (n=52) had multiple and/or complex problems at the start of rehabilitation, and thus that the selection performed was adequate. Over 60% of patients included, however, were treated with chemoradiation. Due to the early start of preventive swallowing rehabilitation during chemoradiation, as best of care (Van der Molen, Van Rossum et al. 2014), these patients are seen by the rehabilitation specialist at an early stage. Patients undergoing surgery and/or primary radiotherapy are included or referred to the HNR less often. The assumption is that head and neck cancer patients receiving surgical and/or radiotherapy treatment run the risk of reduced functioning and the occurrence of psychosocial problems and reduced participation level. Early information on rehabilitation/supportive care and preventive screening would allow for an inventory of care needs among patients in these categories, and whether they would benefit from multidisciplinary rehabilitation.\u000DMore studies evaluating the specific role of the case manager within the rehabilitation process are needed to provide evidence for their added value. At the Antoni van Leeuwenhoek the case manager\u2019s screening and logistical coordination are indispensable in the care process involved in the head and neck rehabilitation programme.\u000D102\u000D