Treatment decision-making needs among emerging adults with early psychosis.
coordinated specialty care
decision support
first-episode psychosis
service engagement
shared decision-making
Journal
Early intervention in psychiatry
ISSN: 1751-7893
Titre abrégé: Early Interv Psychiatry
Pays: Australia
ID NLM: 101320027
Informations de publication
Date de publication:
01 2022
01 2022
Historique:
revised:
14
01
2021
received:
03
08
2020
accepted:
02
02
2021
pubmed:
19
2
2021
medline:
11
3
2022
entrez:
18
2
2021
Statut:
ppublish
Résumé
Many emerging adults disengage from early intervention in psychosis (EIP) services prematurely. Service disengagement may be in part due to having unresolved treatment decision-making needs about use of mental health services. A basic understanding of the decision-making needs of this population is lacking. The purpose of this qualitative study was to identify the range of treatment decisions that emerging adults face during their initial engagement in an EIP program and elucidate barriers and facilitators to decision-making. Twenty emerging adults with early psychosis were administered semistructured interviews to capture treatment decision-making experiences during the first six months after enrolment in an EIP program. Interviews were audio-recorded and transcribed verbatim. Responses were independently coded by two authors using an integrated thematic analysis approach; differences in coding were discussed to consensus. Data analysis was facilitated using NVivo 12 Plus. Emerging adults identified numerous decisions faced after EIP enrolment. Decisions pertaining to life and treatment goals and to starting and continuing psychiatric medication were commonly selected as the most difficult/complicated. Decision-making barriers included not having the right amount or type of information/knowledge, social factors (e.g., lacking social support, opposition/pressure), lacking internal resources (e.g., cognitive and communication skills, self-efficacy, motivation) and unappealing options. Obtaining information/knowledge, social supports (e.g., connection/trust, learning from others' experiences, encouragement), considering personal values, and time were decision-making facilitators. This study informs development and optimization of interventions to support decision-making among emerging adults with early psychosis, which may promote service engagement.
Identifiants
pubmed: 33599089
doi: 10.1111/eip.13134
pmc: PMC9116145
mid: NIHMS1802690
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
78-90Subventions
Organisme : NIMH NIH HHS
ID : K08 MH116101
Pays : United States
Informations de copyright
© 2021 John Wiley & Sons Australia, Ltd.
Références
Early Interv Psychiatry. 2018 Apr;12(2):169-176
pubmed: 26572931
Soc Sci Med. 1997 Mar;44(5):681-92
pubmed: 9032835
Int J Qual Stud Health Well-being. 2016 May 09;11:30563
pubmed: 27167556
Med Decis Making. 2014 Aug;34(6):699-710
pubmed: 23963501
Psychiatr Serv. 2021 Jan 1;72(1):49-60
pubmed: 33234052
J Ment Health. 2018 Feb;27(1):66-79
pubmed: 28084845
J Ment Health. 2002;11(2):191-8
pubmed: 21208145
BMC Med Inform Decis Mak. 2013;13 Suppl 2:S11
pubmed: 24624995
Neuropsychopharmacology. 2001 Jun;24(6):595-607
pubmed: 11331139
New Dir Child Adolesc Dev. 2002 Fall;(97):9-41
pubmed: 14964942
Psychiatr Serv. 2020 Apr 1;71(4):401-402
pubmed: 31913084
Schizophr Res. 2019 Aug;210:122-127
pubmed: 31176534
J Nerv Ment Dis. 2020 Apr;208(4):329-339
pubmed: 32221188
J Behav Health Serv Res. 2015 Apr;42(2):238-53
pubmed: 25056768
Psychol Med. 2013 Jan;43(1):133-42
pubmed: 22608200
Psychiatr Serv. 2020 Nov 1;71(11):1151-1157
pubmed: 32933413
Br J Clin Psychol. 2019 Mar;58(1):19-34
pubmed: 30028025
Psychiatr Serv. 2017 Sep 1;68(9):916-922
pubmed: 28566027
Soc Sci Med. 2012 Oct;75(8):1441-9
pubmed: 22800921
Schizophr Bull. 2014 Jan;40(1):28-38
pubmed: 23960245
Psychiatr Serv. 2021 Nov 1;72(11):1288-1300
pubmed: 34369801
Br J Psychiatry. 2000 Nov;177:396-401
pubmed: 11059991
BMC Psychiatry. 2011 Dec 12;11:194
pubmed: 22151735
Am J Psychiatry. 2018 Feb 1;175(2):169-179
pubmed: 28945118
J Psychiatr Ment Health Nurs. 2008 May;15(4):287-95
pubmed: 18387147
Psychiatr Serv. 2014 May 1;65(5):603-11
pubmed: 24535333
Schizophr Res. 2015 Oct;168(1-2):79-83
pubmed: 26307427
Early Interv Psychiatry. 2018 Jun;12(3):324-330
pubmed: 26810026
Adm Policy Ment Health. 2015 Sep;42(5):533-44
pubmed: 24193818
Health Commun. 2016;31(6):707-17
pubmed: 26529605
Med Decis Making. 2016 Aug;36(6):777-90
pubmed: 26975351
Implement Sci. 2012 Apr 24;7:37
pubmed: 22530986
Am J Orthopsychiatry. 2017;87(5):575-584
pubmed: 28394157
Psychiatr Rehabil J. 2018 Sep;41(3):216-223
pubmed: 27732033
Psychiatr Serv. 2016 Nov 1;67(11):1166-1168
pubmed: 27417900
Health Serv Res. 2007 Aug;42(4):1758-72
pubmed: 17286625
Clin Psychol Psychother. 2017 Jul;24(4):870-886
pubmed: 27910173
Qual Health Res. 2016 Nov;26(13):1753-1760
pubmed: 26613970
Patient Educ Couns. 1998 Mar;33(3):267-79
pubmed: 9731164
Psychiatr Serv. 2015 Jul;66(7):699-704
pubmed: 25873029
Am J Geriatr Psychiatry. 2008 Oct;16(10):826-33
pubmed: 18827229
Psychiatr Serv. 2017 Aug 1;68(8):764-770
pubmed: 28457208
Mil Med. 2014 Feb;179(2):143-9
pubmed: 24491609