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What approaches for promoting shared decision‐making are used in child mental health? A scoping review
Author(s) -
Cheng Helen,
Hayes Daniel,
EdbrookeChilds Julian,
Martin Kate,
Chapman Louise,
Wolpert Miranda
Publication year - 2017
Publication title -
clinical psychology and psychotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.315
H-Index - 76
eISSN - 1099-0879
pISSN - 1063-3995
DOI - 10.1002/cpp.2106
Subject(s) - mental health , set (abstract data type) , inclusion (mineral) , psychology , alliance , quality (philosophy) , population , medical education , applied psychology , medicine , psychiatry , computer science , social psychology , philosophy , environmental health , epistemology , political science , law , programming language
Objective Whilst the benefits of shared decision‐making (SDM) have been promoted across different health settings, its implementation is complex, particularly for children and young people with mental health difficulties. The aim of this scoping review was to identify and describe SDM approaches (tools, techniques, and technologies) used in child and youth mental health. Method Electronic databases and grey literature were searched. Papers were included if they satisfied these criteria: English language; described an SDM approach (tool, technique, or technology); included sufficient detail on the SDM approach for quality assessment; did not use only a questionnaire to provide feedback on SDM or related concepts (e.g., therapeutic alliance) without another SDM approach; child or adolescent population (up to 18 years); carers of children or adolescents; and mental health setting. Screening and data extraction were performed by two co‐authors, and each included record was quality assessed against a set of essential ingredients of SDM identified by previous studies. Results Of the 8,153 initial results, 22 were eligible for final inclusion. These could be grouped into six approaches: therapeutic techniques, psychoeducational information, decision aids, action planning or goal setting, discussion prompts, and mobilizing patients to engage. The quality of approaches identified ranged from one to seven of the nine essential elements of SDM. Conclusion Evidence suggests that a range of approaches are being developed to support SDM in child and youth mental health. Rigorous research evaluating the effectiveness of these approaches is urgently needed, particularly from the perspective of children and young people.