Citation

Abrines-Jaume N, Midgley N, Hopkins K, Hoffman J, Martin K, Law D, Wolpert M. Clin. Child Psychol. Psychiatry 2014; 21(1): 19-31.

Affiliation

EBPU, Anna Freud Centre and UCL, London, UK EBPU@annafreud.org.

Copyright

(Copyright © 2014, SAGE Publishing)

DOI

10.1177/1359104514547596

PMID

25178946

Abstract

OBJECTIVES: To explore the implementation of shared decision making (SDM) in Child and Adolescent Mental Health Services (CAMHS), and identify clinician-determined facilitators to SDM.

METHODS: Professionals from four UK CAMHS tried a range of tools to support SDM. They reflected on their experiences using plan-do-study-act log books. A total of 23 professionals completed 307 logs, which were transcribed and analysed using Framework Analysis in Atlas.Ti.

RESULTS: Three states of implementation (apprehension, feeling clunky, and integration) and three aspects of clinician behavior or approach (effort, trust, and flexibility) were identified.

CONCLUSIONS: Implementation of SDM in CAMHS requires key positive clinician behaviors, including preparedness to put in effort, trust in young people, and use of the approach flexibly. PRACTICE IMPLICATIONS: Implementation of SDM in CAMHS is effortful, and while tools may help support SDM, clinicians need to be allowed to use the tools flexibly to allow them to move from a state of apprehension through a sense of feeling "clunky" to integration in practice.

Language: en