ACCESS Open Minds (Pan-Canadian Youth Mental Health Services Research Network), Douglas Mental Health University Institute, Montreal, QC, Canada.
Department of Psychiatry, McGill University, Montreal, QC, Canada.
Patient. 2020 Dec;13(6):653-666. doi: 10.1007/s40271-020-00444-5.
Shared decision making (SDM) is the process by which health care providers and patients collaborate to make health care decisions. This collaboration leads to informed decision making and improved outcomes. However, research on SDM specific to the field of youth mental health is scarce. ACCESS Open Minds (ACCESS OM) is a youth mental health research and evaluation project that implemented and evaluated SDM practices within its various activities and operations. The ACCESS OM network spans a diversity of youth mental health settings across Canada, and includes various stakeholders such as youth, family members and carers, clinicians, researchers, and policy makers. The project values all types of knowledge (specifically, experiential, cultural, clinical, and scientific knowledge) as necessary to lead to better health research, care delivery, and outcomes for patients and their communities. Similarly, it acknowledges the lived experience of patients and, family and carers as expertise. Through the integration of SDM practices, ACCESS OM has formulated valuable insights that can be applied to other health problems and settings. This paper, written by youth and family council members, operational staff, and researchers from the project, will share challenges and solutions that arose in the integration of SDM practices within ACCESS OM's knowledge translation strategy, governance structures, clinical contexts, and capacity-building initiatives. Shared Decision Making in a Youth Mental Health Service Design and Research Project: Insights From the Pan-Canadian ACCESS Open Minds Network (MP4 234838 kb).
共享决策（SDM）是医疗保健提供者和患者合作做出医疗保健决策的过程。这种合作导致知情决策和改善结果。然而，针对青年心理健康领域的 SDM 研究很少。ACCESS Open Minds（ACCESS OM）是一个青年心理健康研究和评估项目，在其各种活动和运营中实施和评估 SDM 实践。ACCESS OM 网络跨越加拿大各地的各种青年心理健康环境，包括青年、家庭成员和照顾者、临床医生、研究人员和政策制定者等各种利益相关者。该项目重视所有类型的知识（特别是经验、文化、临床和科学知识），因为这些知识是为了改善患者及其社区的健康研究、护理提供和结果所必需的。同样，它承认患者、家庭和照顾者的生活经验是专业知识。通过整合 SDM 实践，ACCESS OM 形成了有价值的见解，可以应用于其他健康问题和环境。本文由项目的青年和家庭理事会成员、运营人员和研究人员撰写，将分享在 ACCESS OM 的知识转化策略、治理结构、临床环境和能力建设举措中整合 SDM 实践所遇到的挑战和解决方案。青年心理健康服务设计和研究项目中的共享决策：来自全加 ACCESS Open Minds 网络的见解（MP4 234838 kb）。
