User participation and shared decision-making in adolescent mental healthcare: a qualitative study of healthcare professionals’ perspectives
Abstract Background Most mental health problems occur in adolescence. There is increasing recognition of user participation and shared decision-making in adolescents’ mental healthcare. However, research in this field of clinical practice is still sparse. The objective of this study was to explore h...
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| Format: | Article |
| Language: | English |
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BMC
2020-01-01
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| Series: | Child and Adolescent Psychiatry and Mental Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13034-020-0310-3 |
| _version_ | 1818595700513964032 |
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| author | Stig Bjønness Petter Viksveen Jan Olav Johannessen Marianne Storm |
| author_facet | Stig Bjønness Petter Viksveen Jan Olav Johannessen Marianne Storm |
| author_sort | Stig Bjønness |
| collection | DOAJ |
| description | Abstract Background Most mental health problems occur in adolescence. There is increasing recognition of user participation and shared decision-making in adolescents’ mental healthcare. However, research in this field of clinical practice is still sparse. The objective of this study was to explore healthcare professionals’ perspectives on user participation, and opportunities for shared decision-making in Child and Adolescent Mental Health Service (CAMHS) inpatient units. Methods Healthcare professionals at CAMHS inpatient units participated in three focus group interviews. Fifteen participants with experience with user participation and shared decision-making were recruited from five hospitals in Norway. Results Five themes emerged: (1) involvement before admission; (2) sufficient time to feel safe; (3) individualized therapy; (4) access to meetings where decisions are made; and (5) changing professionals’ attitudes and practices. Conclusion User participation and shared decision-making require changes in workplace culture, and routines that allow for individualized mental health services that are adapted to adolescents’ needs. This calls for a flexible approach that challenges clinical pathways and short-stay hospital policies. The results of this study may inform further work on strengthening user participation and the implementation of shared decision-making. Trial registration Norwegian Regional Committees for Medical and Health Research Ethics, reference number 2017/1195 |
| first_indexed | 2024-12-16T11:20:11Z |
| format | Article |
| id | doaj.art-75016df21d7940ae958fa6ad8e575b63 |
| institution | Directory Open Access Journal |
| issn | 1753-2000 |
| language | English |
| last_indexed | 2024-12-16T11:20:11Z |
| publishDate | 2020-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Child and Adolescent Psychiatry and Mental Health |
| spelling | doaj.art-75016df21d7940ae958fa6ad8e575b632022-12-21T22:33:28ZengBMCChild and Adolescent Psychiatry and Mental Health1753-20002020-01-011411910.1186/s13034-020-0310-3User participation and shared decision-making in adolescent mental healthcare: a qualitative study of healthcare professionals’ perspectivesStig Bjønness0Petter Viksveen1Jan Olav Johannessen2Marianne Storm3Centre for Resilience in Healthcare (SHARE), Department for Quality and Health Technology, Faculty of Health Sciences, University of StavangerCentre for Resilience in Healthcare (SHARE), Department for Quality and Health Technology, Faculty of Health Sciences, University of StavangerDepartment of Psychiatry, Stavanger University HospitalDepartment for Public Health, Faculty of Health Sciences, University of StavangerAbstract Background Most mental health problems occur in adolescence. There is increasing recognition of user participation and shared decision-making in adolescents’ mental healthcare. However, research in this field of clinical practice is still sparse. The objective of this study was to explore healthcare professionals’ perspectives on user participation, and opportunities for shared decision-making in Child and Adolescent Mental Health Service (CAMHS) inpatient units. Methods Healthcare professionals at CAMHS inpatient units participated in three focus group interviews. Fifteen participants with experience with user participation and shared decision-making were recruited from five hospitals in Norway. Results Five themes emerged: (1) involvement before admission; (2) sufficient time to feel safe; (3) individualized therapy; (4) access to meetings where decisions are made; and (5) changing professionals’ attitudes and practices. Conclusion User participation and shared decision-making require changes in workplace culture, and routines that allow for individualized mental health services that are adapted to adolescents’ needs. This calls for a flexible approach that challenges clinical pathways and short-stay hospital policies. The results of this study may inform further work on strengthening user participation and the implementation of shared decision-making. Trial registration Norwegian Regional Committees for Medical and Health Research Ethics, reference number 2017/1195https://doi.org/10.1186/s13034-020-0310-3Mental healthPsychiatryAdolescentsYouthUser participationShared decision-making |
| spellingShingle | Stig Bjønness Petter Viksveen Jan Olav Johannessen Marianne Storm User participation and shared decision-making in adolescent mental healthcare: a qualitative study of healthcare professionals’ perspectives Child and Adolescent Psychiatry and Mental Health Mental health Psychiatry Adolescents Youth User participation Shared decision-making |
| title | User participation and shared decision-making in adolescent mental healthcare: a qualitative study of healthcare professionals’ perspectives |
| title_full | User participation and shared decision-making in adolescent mental healthcare: a qualitative study of healthcare professionals’ perspectives |
| title_fullStr | User participation and shared decision-making in adolescent mental healthcare: a qualitative study of healthcare professionals’ perspectives |
| title_full_unstemmed | User participation and shared decision-making in adolescent mental healthcare: a qualitative study of healthcare professionals’ perspectives |
| title_short | User participation and shared decision-making in adolescent mental healthcare: a qualitative study of healthcare professionals’ perspectives |
| title_sort | user participation and shared decision making in adolescent mental healthcare a qualitative study of healthcare professionals perspectives |
| topic | Mental health Psychiatry Adolescents Youth User participation Shared decision-making |
| url | https://doi.org/10.1186/s13034-020-0310-3 |
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