The relationship between child- and parent-reported shared decision making and child-, parent-, and clinician-reported treatment outcome in routinely collected child mental health services data. (April 2016)

• Record Type: Journal Article
• Authors: Edbrooke-Childs, Julian; Jacob, Jenna; Argent, Rachel; Patalay, Praveetha; Deighton, Jessica; Wolpert, Miranda
• Is Part Of: Clinical child psychology and psychiatry. Volume 21:Number 2(2016:Apr.)
• Page Start: 324
• Page End: 338
• Publication Date: 2016-04
• Subjects: Shared decision making -- psychosocial difficulties -- functioning -- child mental health -- longitudinal -- multilevel; Clinical child psychology -- Periodicals; Child psychiatry -- Periodicals; 618.9289
• DOI: 10.1177/1359104515591226
• Languages: English
• ISSNs: 1359-1045

Abstract

Objective: Shared decision making (SDM) between service users and providers is increasingly being suggested as a key component of good healthcare. The aim of this research was to explore whether child- and parent-reported experience of SDM was associated with child- and parent-reported improvement in psychosocial difficulties and clinician-reported functioning at the end of treatment in child and adolescent mental health services (CAMHS). Method: The sample comprised N = 177 children (62% female; 31% aged 6–12 and 69% aged 13–18) with a variety of mental health problems from 17 services where routinely collected data consisted of presenting problems at outset, child- and parent-reported change in symptoms between Time 1 and Time 2 (Strengths and Difficulties Questionnaire; SDQ), clinician-reported change in functioning between Time 1 and Time 2 (Children's Global Assessment Scale; CGAS), and experience of SDM at Time 2 (as measured by responses to the Experience of Service Questionnaire; ESQ). Results: Analysis revealed that both child- and parent-reported experience of SDM were associated with higher levels of child- and parent-reported improvement in psychosocial difficulties. However, child-reported experience of SDM was only associated with higher levels of child-reported improvement when their parents also reported higher levels of SDM. Conclusion: In CAMHS, involving both children and parents in decision making may contribute to enhanced treatment outcomes.