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- Title
User participation and shared decision-making in adolescent mental healthcare: a qualitative study of healthcare professionals' perspectives.
- Authors
Bjønness, Stig; Viksveen, Petter; Johannessen, Jan Olav; Storm, Marianne
- 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
- Subjects
NORWAY; MENTAL health services; MEDICAL personnel; CHILD mental health services; MEDICAL research ethics; ATTITUDE change (Psychology); PARTICIPATION
- Publication
Child & Adolescent Psychiatry & Mental Health, 2020, Vol 14, Issue 1, p1
- ISSN
1753-2000
- Publication type
Article
- DOI
10.1186/s13034-020-0310-3