@article{ref1,
title="A qualitative analysis of implementing shared decision making in child and adolescent mental health services in the United Kingdom: stages and facilitators",
journal="Clinical child psychology and psychiatry",
year="2014",
author="Abrines-Jaume, Neus and Midgley, Nick and Hopkins, Katy and Hoffman, Jasmine and Martin, Kate and Law, Duncan and Wolpert, Miranda",
volume="21",
number="1",
pages="19-31",
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. <br><br>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. <br><br>RESULTS: Three states of implementation (apprehension, feeling clunky, and integration) and three aspects of clinician behavior or approach (effort, trust, and flexibility) were identified. <br><br>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 &quot;clunky&quot; to integration in practice.<p /> <p>Language: en</p>",
language="en",
issn="1359-1045",
doi="10.1177/1359104514547596",
url="http://dx.doi.org/10.1177/1359104514547596"
}