Making decisions about treatment for young people diagnosed with depressive disorders: a qualitative study of clinicians' experiences.
TLDR
A collaborative model of treatment decision making for youth depression which focuses on the decision-making processes rather than who actually makes the decision; 2) is flexible to the individual needs and characteristics of the client; and 3) where caregiver involvement is optional.Abstract:
Background
The imperative to provide effective treatment for young people diagnosed with depressive disorders is complicated by several factors including the unclear effectiveness of treatment options. Within this context, little is known about how treatment decisions are made for this population.read more
Citations
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Qualitative and mixed methods in mental health services and implementation research.
TL;DR: The rationale and common approaches to using qualitative and mixed methods in mental health services and implementation research are reviewed based on a review of the articles included in this special series along with representative examples from the literature.
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Barriers and facilitators of pediatric shared decision-making: a systematic review
Laura Boland,Laura Boland,Ian D. Graham,Ian D. Graham,Krystina B. Lewis,Janet Jull,Allyson Shephard,Margaret L. Lawson,Alexandra Davis,Audrey Yameogo,Dawn Stacey,Dawn Stacey +11 more
TL;DR: Numerous diverse and interrelated factors influence SDM use in pediatric clinical practice and can be used to identify potential pediatric SDM barriers and facilitators, guide context-specific barrier and facilitator assessments, and inform interventions for implementing SDM in pediatric practice.
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Facilitators and Barriers to Person-centred Care in Child and Young People Mental Health Services: A Systematic Review.
Dawid Gondek,Julian Edbrooke-Childs,Tjasa Velikonja,Louise Chapman,Felicity Saunders,Daniel Hayes,Miranda Wolpert +6 more
TL;DR: The key recommendations of the review to improve provision of person-centred care are providing professionals with more training in using the approach, supporting them to use it flexibly to meet the unique needs of service users whilst also being responsive to times when it may be less appropriate and improving both the quantity and quality of information for service users.
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Facilitators and Barriers to the Active Participation of Clients with Serious Mental Illnesses in Medication Decision Making: the Perceptions of Young Adult Clients
Jonathan Delman,Jack A. Clark,Jack A. Clark,Susan V. Eisen,Susan V. Eisen,Victoria A. Parker,Victoria A. Parker +6 more
TL;DR: The active participation of young adults with serious mental illnesses in making decisions about their psychotropic medications is beneficial to their care quality and overall health, but many however report not expressing treatment preferences to psychiatrists.
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Right choice, right time: Evaluation of an online decision aid for youth depression
TL;DR: Appropriate treatment for youth depression is an important public health priority and shared decision making has been recommended, yet no decision aids exist to facilitate this.
References
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Using thematic analysis in psychology
Virginia Braun,Victoria Clarke +1 more
TL;DR: Thematic analysis is a poorly demarcated, rarely acknowledged, yet widely used qualitative analytic method within psychology as mentioned in this paper, and it offers an accessible and theoretically flexible approach to analysing qualitative data.
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Decision aids for people facing health treatment or screening decisions
Dawn Stacey,Dawn Stacey,Krystina B. Lewis,Michael J. Barry,Carol Bennett,Karen Eden,Margaret Holmes-Rovner,Hilary A. Llewellyn-Thomas,Anne Lyddiatt,Richard Thomson,Lyndal Trevena +10 more
TL;DR: Decision aids reduced the proportion of undecided participants and appeared to have a positive effect on patient-clinician communication, and those exposed to a decision aid were either equally or more satisfied with their decision, the decision-making process, and the preparation for decision making compared to usual care.
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Twelve-Month Use of Mental Health Services in the United States Results From the National Comorbidity Survey Replication
Philip S. Wang,Michael Lane,Mark Olfson,Harold Alan Pincus,Kenneth B. Wells,Ronald C. Kessler +5 more
TL;DR: Most people with mental disorders in the United States remain either untreated or poorly treated, and interventions are needed to enhance treatment initiation and quality.
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Mental health of young people: a global public-health challenge
TL;DR: This work proposes a population-based, youth focused model, explicitly integrating mental health with other youth health and welfare expertise, and challenges to addressing mental- health needs include the shortage of mental-health professionals, the fairly low capacity and motivation of non-specialist health workers, and the stigma associated with mental disorder.
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Decision-making in the physician-patient encounter: revisiting the shared treatment decision-making model.
TL;DR: This revised framework provides a dynamic view of treatment decision-making by recognizing that the approach adopted at the outset of a medical encounter may change as the interaction evolves and has practical applications for clinical practice, research and medical education.