I'm not a diagnosis: Adolescents' perspectives on user participation and shared decision-making in mental healthcare.
I'm not a diagnosis: Adolescents' perspectives on user participation and shared decision-making in mental healthcare.
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我不是诊断：青少年对用户参与和共享心理保健决策的看法。
DOI：
10.21307/sjcapp-2020-014
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发表时间：
2020
影响因子：
1.9
通讯作者：
Storm M
中科院分区：
文献类型：
--
作者：
Bjønness S;Grønnestad T;Storm M
青少年有权参与影响其医疗保健的决策。需要更多的知识来提供既适合青少年又符合政策的优质医疗保健服务。共同决策有可能将用户参与和循证治疗结合起来。研究和政府政策强调共同决策是高质量精神保健服务的关键。探索青少年在精神保健住院单位的用户参与和共同决策的体验。在这项定性研究中，我们对青少年（16-18 岁）进行了 10 次深度访谈。参与者入住挪威的四家精神保健住院诊所。对转录的采访进行定性内容分析。确定了五个主题，代表青少年对获得信任、获得帮助、被理解、被诊断和标签、被推动以及制定定制治疗计划的看法。心理教育信息、相互信任以及患者和治疗师之间的治疗关系被认为是共同决策的先决条件。对于青少年来说，被贴上诊断标签或被迫接受他们没有启动或控制的治疗方案往往会引起强烈的抵制。强调了用户入院时的参与、参与治疗计划、个体化治疗以及医疗保健专业人员之间的协作。建议青少年在入院前制定参与和参与的常规程序。共同决策有可能提高青少年的参与度，并减少非自愿治疗和重新入院门诊的发生率。在这项研究中，共同决策与授权相关，而不是与标准化决策工具相关。被医疗保健专业人员贴上标签并主导可能会成为青少年参与治疗的障碍。我们建议少强调诊断，多强调个体化治疗。
Adolescents have the right to be involved in decisions affecting their healthcare. More knowledge is needed to provide quality healthcare services that is both suitable for adolescents and in line with policy. Shared decision-making has the potential to combine user participation and evidence-based treatment. Research and governmental policies emphasize shared decision-making as key for high quality mental healthcare services. To explore adolescents’ experiences with user participation and shared decision-making in mental healthcare inpatient units. We carried out ten in-depth interviews with adolescents (16-18 years old) in this qualitative study. The participants were admitted to four mental healthcare inpatient clinics in Norway. Transcribed interviews were subjected to qualitative content analysis. Five themes were identified, representing the adolescents’ view of gaining trust, getting help, being understood, being diagnosed and labeled, being pushed, and making a customized treatment plan. Psychoeducational information, mutual trust, and a therapeutic relationship between patients and therapists were considered prerequisites for shared decision-making. For adolescents to be labeled with a diagnosis or forced into a treatment regimen that they did not initiate or control tended to elicit strong resistance. User involvement at admission, participation in the treatment plan, individualized treatment, and collaboration among healthcare professionals were emphasized. Routines for participation and involvement of adolescents prior to inpatient admission is recommended. Shared decision-making has the potential to increase adolescents’ engagement and reduce the incidence of involuntary treatment and re-admission to inpatient clinics. In this study, shared decision-making is linked to empowerment and less to standardized decision tools. To be labeled and dominated by healthcare professionals can be a barrier to adolescents’ participation in treatment. We suggest placing less emphasis on diagnoses and more on individualized treatment.
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影响因子：
6.4
作者：
Kapp, Carole;Perlini, Thomas;Urben, Sebastien
通讯作者：
Urben, Sebastien
影响因子：
1.9
作者：
Lindseth, A;Norberg, A
通讯作者：
Norberg, A
影响因子：
6.4
作者：
Hayes, D.;Edbrooke-Childs, J.;Midgley, N.
通讯作者：
Midgley, N.
影响因子：
1.8
作者：
Persson, Stefan;Hagquist, Curt;Michelson, Daniel
通讯作者：
Michelson, Daniel
DOI：
10.1192/bjp.bp.112.119164
发表时间：
2013-01-01
期刊：
The British journal of psychiatry. Supplement
影响因子：
--
作者：
Jones, P B
通讯作者：
Jones, P B