Shared Decision Making in an Integrated Mental Health and Vocational Rehabilitation Intervention: Stakeholder Practices and Experiences

Kathrine Hoffmann Pii, Lisbeth Hypholt, Rie Mandrup Poulsen, Lene Falgaard Eplov, Mathias Meijer

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Abstract

Introduction: A Danish integrated mental health care and vocational intervention was developed to support the return-to-work process for people with common mental disorders. Shared decision making was a core element of the intervention to ensure a person-centred approach. The study aim is to describe how shared decision making was practiced and experienced and to discuss its potential in this integrated care context. Theory and methods: Shared decision making practice and experience was studied in participant observation (n = 20), interviews (n = 12), focus groups interviews (n = 2), and shared plan documents (n = 12). Research methods and analyses were guided by theoretically defined ideals of shared decision making. Results: Shared decision making constituted a general value rather than a structured method in practice. Clients experienced a more person-centred collaboration with professionals, compared to the regular vocational system. Contextual factors regarding vocational legislation and the intervention design influenced the decision latitude. Conclusion: Shared decision making has the potential to support a person-centred approach in integrated services. However, we recommend clarifying decisions applicable for shared decision making, to ensure thorough training, develop and test decision aids, and ensure supportive organisational conditions for shared decision making in interprofessional collaboration.
Original languageEnglish
Article number18
JournalInternational Journal of Integrated Care
Volume20
Issue number4
Pages (from-to)1-11
Number of pages11
ISSN1568-4156
DOIs
Publication statusPublished - 1 Oct 2020

Keywords

  • disease, health science and nursing
  • common mental disorders
  • integrated care
  • mental health care
  • shared decision making
  • vocational rehabilitation

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  • IBBIS procesevaluering

    Pii, K. H. (Principle researcher) & Meijer, M. R. (Co-researcher)

    28/06/1730/06/19

    Project: Research

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