TY  - JOUR
PY  - 2014//
TI  - A qualitative analysis of implementing shared decision making in child and adolescent mental health services in the United Kingdom: stages and facilitators
JO  - Clinical child psychology and psychiatry
A1  - Abrines-Jaume, Neus
A1  - Midgley, Nick
A1  - Hopkins, Katy
A1  - Hoffman, Jasmine
A1  - Martin, Kate
A1  - Law, Duncan
A1  - Wolpert, Miranda
SP  - 19
EP  - 31
VL  - 21
IS  - 1
N2  - 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 "clunky" to integration in practice.<p />  <p>Language: en</p>
LA  - en
SN  - 1359-1045
UR  - http://dx.doi.org/10.1177/1359104514547596
ID  - ref1
ER  -