title: The relationship between child- and parent-reported shared decision making and child-, parent-, and clinician-reported treatment outcome in routinely collected child mental health services data.
abstract: OBJECTIVE
  Shared decision making (SDM) between service users and providers is increasingly being suggested as a key component of good healthcare. The aim of this research was to explore whether child- and parent-reported experience of SDM was associated with child- and parent-reported improvement in psychosocial difficulties and clinician-reported functioning at the end of treatment in child and adolescent mental health services (CAMHS).
  
  
  METHODS
  The sample comprised N = 177 children (62% female; 31% aged 6-12 and 69% aged 13-18) with a variety of mental health problems from 17 services where routinely collected data consisted of presenting problems at outset, child- and parent-reported change in symptoms between Time 1 and Time 2 (Strengths and Difficulties Questionnaire; SDQ), clinician-reported change in functioning between Time 1 and Time 2 (Children's Global Assessment Scale; CGAS), and experience of SDM at Time 2 (as measured by responses to the Experience of Service Questionnaire; ESQ).
  
  
  RESULTS
  Analysis revealed that both child- and parent-reported experience of SDM were associated with higher levels of child- and parent-reported improvement in psychosocial difficulties. However, child-reported experience of SDM was only associated with higher levels of child-reported improvement when their parents also reported higher levels of SDM.
  
  
  CONCLUSIONS
  In CAMHS, involving both children and parents in decision making may contribute to enhanced treatment outcomes.
authors.affiliation: Evidence Based Practice Unit, UCL and Anna Freud Centre, UK.
authors.forename: Julian
authors.initials: J
authors.lastname: Edbrooke-Childs
authors.affiliation: Child Outcomes Research Consortium, Evidence Based Practice Unit, UCL and Anna Freud Centre, UK.
authors.forename: Jenna
authors.initials: J
authors.lastname: Jacob
authors.affiliation: Child Outcomes Research Consortium, Evidence Based Practice Unit, UCL and Anna Freud Centre, UK.
authors.forename: Rachel
authors.initials: R
authors.lastname: Argent
authors.affiliation: Evidence Based Practice Unit, UCL and Anna Freud Centre, UK.
authors.forename: Praveetha
authors.initials: P
authors.lastname: Patalay
authors.affiliation: Evidence Based Practice Unit, UCL and Anna Freud Centre, UK.
authors.forename: Jessica
authors.initials: J
authors.lastname: Deighton
authors.affiliation: Evidence Based Practice Unit, UCL and Anna Freud Centre, UK EBPU@annafreud.org.
authors.forename: Miranda
authors.initials: M
authors.lastname: Wolpert
mesh_terms: D000293:Adolescent; D016497:Adolescent Health Services / Q000592:standards*; D002648:Child; D002662:Child Health Services / Q000592:standards*; D003657:Decision Making; D005260:Female; D006801:Humans; D008297:Male; D008605:Mental Health Services / Q000592:standards*; D010290:Parents / Q000523:psychology*; D063868:Patient Outcome Assessment; D010358:Patient Participation / Q000523:psychology*; D016896:Treatment Outcome
keywords: Shared decision making; child mental health; functioning; longitudinal; multilevel; psychosocial difficulties