Exploring stakeholder perspectives to facilitate the implementation of shared decision-making in coordinated individual care planning

Abstract

This article explores conditions for implementing shared decision-making (SDM) in coordinated individual care planning (CIP) with individuals with complex mental health needs. SDM in CIP are described as central, although such user centred collaboration still remains to be realised. Research underlines the need for a changed way of working, where user expertise is valued and a balance of power is promoted. The aim of the present study is to investigate the conditions for implementing SDM in connection with CIP for and with people with mental illness. To better understand the context and conditions that can promote such an implementation, altogether 15 participants were interviewed in three regions in Sweden within the scope of a stakeholder analysis. Both hindering and supporting factors were identi fi ed with respect to an implementation process, such as sta ff turnover, di ff erences in work culture and committed leadership. Further focus should be directed speci fi cally towards professionals working more closely with CIP and towards in-depth analysis of the construct of culture in terms of implementation processes