Shared decision-making (SDM) in Coordinated individual planning (CIP)
Hello Katarina Grim! Tell us about the project Shared decision-making (SDM) in Coordinated individual planning (CIP)!
As part of a three-year project, we have investigated how user participation can be strengthened in connection with coordinated individual planning (CIP) using the Shared Decision-Making (SDM) method. We have conducted the research through co-production with four municipalities located in the Southeast Healthcare Region, which includes the counties of Jönköping, Kalmar, and Östergötland. Municipal social psychiatry services participated together with the regional psychiatric services with which they carry out CIP processes. In a previous study, researchers in the project developed a CIP model—supported by an alternative SIP form—in which the Shared Decision Making method is integrated into the process to strengthen user involvement. During the project, we studied how this process/intervention can achieve broad and sustainable implementation in the Swedish mental health care context.
What have you concluded?
The degree of implementation of shared decision-making in CIPs remains low in the municipalities and regions where the project was carried out. However, those who tried using the new model/form were positive. They felt that Shared Decision Making clarifies the basic ideas behind SIP, that the new process contributes to role security for staff and to better collaboration between organizations. They appreciated the formalized routines that the process consisted of, before, during, and after the SIP meeting.
Were there any results that surprised you?
We had hoped for a higher degree of implementation and had expected our sites and the local facilitators (who were unit managers) to be more proactive and take greater responsibility for implementation. However, looking back, we understand that involving users as valuable knowledge carriers and discussion partners requires a more radical change in attitude than we had imagined.
Who will benefit from the results?
Our studies examine co-production processes, implementation, attitudes and knowledge among leaders and employees, as well as collective learning processes. Anyone interested in change processes for greater user influence can benefit from our studies. We use a wide range of methodological approaches and theoretical frameworks for the phenomena we study, which can provide inspiration for those planning similar studies.
What happens now?
We are still writing a couple of studies focusing on lessons that can benefit further implementation efforts. In particular, we want to identify which strategies for co-production and implementation need to be strengthened. We are also very pleased that the Shared Decision-Making in CIP process we tried to implement is now being rolled out across the Dalarna region.
Members of the research team
Katarina Grim Karlstad universitet Peter Andersson Stockholms universitet Anneli Gustafsson NSPH Ola Knutsson Stockholms universitet Ulla-Karin Schön Stockholms universitet Petra Svedberg Högskolan i Halmstad
