scholarly journals The CHOICE Project: Integrating Peer Support and Shared Decision Making in a Youth Mental Health Service

2014 ◽  
Vol 14 (9) ◽  
Author(s):  
Deb Howe ◽  
Tara Louise Dimopoulos-Bick
2017 ◽  
Vol 68 (8) ◽  
pp. 764-770 ◽  
Author(s):  
Magenta Bender Simmons ◽  
Samantha Batchelor ◽  
Tara Dimopoulos-Bick ◽  
Deb Howe

2010 ◽  
Vol 46 (5) ◽  
pp. 474-481 ◽  
Author(s):  
Elizabeth L. Crickard ◽  
Megan S. O’Brien ◽  
Charles A. Rapp ◽  
Cheryl L. Holmes

Author(s):  
Daniel Hayes ◽  
Julian Edbrooke-Childs ◽  
Rosa Town ◽  
Miranda Wolpert ◽  
Nick Midgley

AbstractReviews around interventions to improve shared decision making (SDM) for child and youth mental health have produced inconclusive findings on what approaches increase participation. Importantly, the previous reviews did not explore the use of theory, as well as mechanisms of change (intervention functions) and active units of change (behaviour change techniques). The aim of this review was to explore these factors and ascertain how, if at all, these contribute to SDM. Five databases were searched up until April 2020. Studies met inclusion criteria if they were: (a) an intervention to facilitate SDM; (b) aimed at children, adolescence, or young people aged up to 25, with a mental health difficulty, or their parents/guardians; and (c) included a control group. Data were extracted on patient characteristics, study design, intervention, theoretical background, intervention functions, behaviour change techniques, and SDM. Quality assessment of the studies was undertaken using the Effective Public Health Practice Project (EPHPP) quality assessment tool. Eight different interventions met inclusion criteria. The role of theory to increase SDM remains unclear. Specific intervention functions, such as ‘education’ on SDM and treatment options and ‘environmental restructuring’ using decision aids, are being used in SDM interventions, as well as ‘training’ for clinicians. Similarly, behaviour change techniques linked to these, such as ‘adding objects to the environment’, ‘discussing pros/cons’, and clinicians engaging in ‘behavioural practice/rehearsal’. However, as most studies scored low on the quality assessment criteria, as well as a small number of studies included and a low number of behaviour change techniques utilised, links between behaviour change techniques, intervention functions and increased participation remain tentative. Intervention developers and clinicians may wish to consider specific intervention functions and behaviour change techniques to facilitate SDM.


2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Liza Hopkins ◽  
Glenda Pedwell ◽  
Katie Wilson ◽  
Prunella Howell-Jay

Purpose The purpose of this study was to identify and understand the barriers and enablers to the implementation of youth peer support in a clinical mental health service. The development of a lived experience workforce in mental health is a key component of policy at both the state and the federal level in Australia. Implementing a peer workforce within existing clinical services, however, can be a challenging task. Furthermore, implementing peer support in a youth mental health setting involves a further degree of complexity, involving a degree of care for young people being invited to provide peer support when they may be still early in their own recovery journey. Design/methodology/approach This paper reports on a formative evaluation of the beginning stages of implementation of a youth peer workforce within an existing clinical mental health service in Melbourne. Findings The project found that it was feasible and beneficial to implement youth peer support; however, significant challenges remain, including lack of appropriate training for young people, uncertainty amongst clinical staff about the boundaries of the peer role and the potential for “tokenism” in the face of slow cultural change across the whole service. Originality/value Very little evaluation has yet been undertaken into the effectiveness of implementing peer support in youth mental health services. This paper offers an opportunity to investigate where services may need to identify strengths and address difficulties when undertaking future implementation efforts.


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