Implementation and staff understanding of shared decision-making in the context of recovery-oriented care across US Veterans Health Administration (VHA) inpatient mental healthcare units: a mixed-methods evaluation.

ABSTRACT:

Objectives

To examine the understanding and practice of shared decision-making (SDM) within the context of recovery-oriented care across Veterans Health Administration (VHA) inpatient mental healthcare units.

Design

VHA inpatient mental health units were scored on the Recovery-Oriented Acute Inpatient Scale (RAIN). Scores on the RAIN item for medication SDM were used to rank each site from lowest to highest. The top 7 and bottom 8 sites (n=15) were selected for additional analyses using a mixed-methods approach, involving qualitative interviews, observation notes and quantitative data.

Setting

34 VHA inpatient mental health units located in every geographical region of the USA.

Participants

55 treatment team members.

Results

Our results identified an ove

SUBMITTER: Eliacin J 

PROVIDER: S-EPMC9152945 | biostudies-literature | 2022 May

REPOSITORIES: biostudies-literature