Facilitators and Barriers to Person‐centred Care in Child and Young People Mental Health Services: A Systematic Review

Gondek, Dawid; Edbrooke‐Childs, Julian; Velikonja, Tjasa; Chapman, Louise; Saunders, Felicity; Hayes, Daniel; Wolpert, Miranda

doi:10.1002/cpp.2052

Cited by 88 publications

(111 citation statements)

References 47 publications

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“…Therefore, each included intervention was assessed based on the comprehensiveness of the intervention to demonstrate these elements of SDM. Similar reviews explored SDM from a wider perspective: interventions targeting children and clinicians, or targeting physical health [30,31,37,38]. An updated review in the area of SDM in CAMHS, which focuses specifically on parent-targeted or parent-involved interventions can highlight important themes to understand parents' involvement in the decision-making process.…”

Section: Introductionmentioning

confidence: 99%

A scoping review and assessment of essential elements of shared decision-making of parent-involved interventions in child and adolescent mental health

Liverpool

Pereira

Hayes

et al. 2020

Eur Child Adolesc Psychiatry

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Parents play a critical role in child and adolescent mental health care and treatment. With the increasing implementation of shared decision-making (SDM) across health settings, there is a growing need to understand the decision support interventions used to promote SDM in child and adolescent mental health services (CAMHS). The overall aim of this review is to identify and examine the existing decision support interventions available for parents. A broad search was conducted using the key concepts "shared decision-making", "parents" and "child and adolescent mental health". Five electronic databases were searched: PsycInfo, Embase, Medline, Web of Science and the Cochrane Library. In addition to these relevant databases, we searched the Ottawa's Inventory of Decision Aids, Children's Hospital of Eastern Ontario website, Google, Google Play and known CAMHS' websites. The search identified 23 interventions available for use with parents. These interventions targeted parents providing care for children with ADHD, ASD, emotional and behavioural problems including depression (EBD), self-harm or universal mental health care. Various modalities including face-to-face, digital and paper-based versions were adopted. The majority of the interventions were able to "present options" (87%) and "discuss the pros and cons" (83%) of treatment. Time, accessibility and appropriateness of the intervention emerged as factors influencing usage and implementation of interventions. Our findings suggest that SDM interventions involving parents have been implemented differently across various presenting mental health difficulties in CAMHS. This review brings awareness of existing parent-involved interventions and has implications for the development, implementation and usage of new interventions.

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Section: Introductionmentioning

confidence: 99%

A scoping review and assessment of essential elements of shared decision-making of parent-involved interventions in child and adolescent mental health

Liverpool

Pereira

Hayes

et al. 2020

Eur Child Adolesc Psychiatry

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“…There are a lack of studies exploring barriers and facilitators to SDM in relation to including young people in care and treatment. Instead, studies have focused on broader concepts such as person‐centred care (Gondek et al, ). Barriers and facilitators to SDM from the perspectives of young people have been identified in five papers (Iachini, Hock, Thomas, & Clone, ; Offord, Turner, & Cooper, ; Oruche, Downs, Holloway, Draucker, & Aalsma, ; Pycroft, Wallis, Bigg, & Webster, ; Simmons, Hetrick, & Jorm, ).…”

Section: Introductionmentioning

confidence: 99%

Barriers and facilitators to shared decision‐making in child and youth mental health: Exploring young person and parent perspectives using the Theoretical Domains Framework

Hayes

Edbrooke‐Childs

Town

et al. 2019

Couns and Psychother Res

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Objective: Young people and parents want to be more active in treatment decisions.Using the Theoretical Domains Framework (TDF), which segments behaviour change into barriers and facilitators across fourteen domains, the aim of this study is to explore the barriers and facilitators to shared decision-making (SDM) from young people and their parents' perspectives. Method:The sample comprised nine young people who presented with internalising difficulties and ten parents of young people with internalising difficulties across two sites in England. Interviews were conducted, and transcripts were analysed using a deductive thematic analysis. Results:Overall, 15 barriers to and facilitators for SDM in child and youth mental health were identified. Under capability, these included an awareness of SDM, forgetting discussions or not asking questions, clinician listening skills and communication skills. For opportunity, these included the availability of treatment options, availability of understandable resources, staff shortages, the environment being conducive to SDM, and if the school, or parents of young people, facilitated decisions. For motivation, these included whether SDM was thought to empower individuals, result in better treatment, or individuals making the 'wrong' decision, as well as whether individuals felt capable to be involved in treatment decision-making, whether young people lacked capacity, and whether they could make decisions due to enhanced emotional states. Conclusions:Barriers and facilitators across capability, opportunity and motivation were identified. Interventions which target these barriers and facilitators may facilitate young people and their parents' involvement in decision-making.

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“…This could be attributed to the better remuneration package offered to care workers in G‐LTCFs. Higher qualified staff can offer better care than otherwise (Gallagher, Bennett, & Halford, ; Gondek et al, ). In addition, the G‐LTCFs provided more regular in‐job training to their care staff than the P‐LTCFs.…”

Section: Discussionmentioning

confidence: 99%

Long‐term care services and care workers in Hangzhou City, China: A cross‐sectional survey

Shao-hua

Chen

et al. 2019

J Nurs Manag

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Aim:This study aims to investigate the organisation and the workforce profile in long-term care facilities in Hangzhou City, China.Background: Population ageing calls for an increase in the number of high-quality, long-term care services. Therefore, there is a pressing need to understand how these services are organized and the qualifications of their workforce. Methods:A cross-sectional questionnaire survey was conducted among 293 care workers in 21 certified long-term care facilities in Hangzhou City, China. Comparison between government-owned and private facilities was conducted. Results:In total, there were 8,898 beds, 5,468 residents and 887 care workers in the facilities surveyed. As the total bed occupancy rate was 61.5%, there appeared to be adequate facilities in the city. The ratio of care workers to residents was similar in both the government-owned and private facilities, 1 care worker to 6.16 residents.For dependent residents, this ratio was 1-3.50. Organisation of the care services in terms of shift pattern, in-job training and care worker's insurance was significantly different between the two types of facilities. Despite the government-owned facilities being better organized than the private ones, both types of aged care facilities had a 24-hr-long shift. Although their monthly wage was similar, care workers in the government-owned facilities received better job-related insurance, were younger, had longer years of aged care work experience, were better educated and held more aged care certificates and received more frequent in-job training than their counterparts in the private facilities. Conclusion:The shift arrangement needs to be improved. The low education level, long working hours and low remuneration of care workers were barriers for the development of the long-term care services. Implications for Nursing Management:In order to improve the quality of long-term care services in China, the organisation of work, qualifications and payment of care workers need to be improved. K E Y W O R D Saged care, aged care worker, long-term care, organisation, residential aged care, workforce | 1547 HONG et al.

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Facilitators and Barriers to Person‐centred Care in Child and Young People Mental Health Services: A Systematic Review

Cited by 88 publications

References 47 publications

A scoping review and assessment of essential elements of shared decision-making of parent-involved interventions in child and adolescent mental health

A scoping review and assessment of essential elements of shared decision-making of parent-involved interventions in child and adolescent mental health

Barriers and facilitators to shared decision‐making in child and youth mental health: Exploring young person and parent perspectives using the Theoretical Domains Framework

Long‐term care services and care workers in Hangzhou City, China: A cross‐sectional survey

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