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Shared Decision-Making as a Tool for Navigating Multi-Stakeholder Discrepancies in Youth Psychotherapy
Olivia M Fitzpatrick1, Juliana M Holcomb2, John R Weisz1
1Department of Psychology, Harvard University.
Summary
Discrepancies in youth psychotherapy priorities between caregivers and youths offer opportunities for inclusive treatment planning. Shared decision-making (SDM) can effectively integrate diverse perspectives for better therapeutic outcomes.
Area of Science:
- Psychotherapy research
- Clinical psychology
- Family therapy
Background:
- Stakeholder discrepancies in youth psychotherapy (caregivers, youths) often impede treatment planning.
- These differences can lead to plans not fully addressing all perspectives.
- However, discrepancies also present opportunities for creating inclusive and effective treatment plans.
Purpose of the Study:
- Investigate multi-stakeholder discrepancies in reporting treatment priorities versus symptom severity.
- Describe shared decision-making (SDM) for collaborative treatment planning, including its promise and challenges.
- Illustrate SDM's application in navigating discrepancies and setting therapy targets.
- Propose future research on SDM's value in youth psychotherapy.
Main Methods:
- Comparative analysis of stakeholder-reported treatment priorities.
- Exploration of shared decision-making (SDM) principles and application.
- Case study methodology for illustrating SDM in practice.
Main Results:
- Varying levels of agreement were found when caregivers and youths reported treatment priorities, differing from symptom presence/severity reports.
- This highlights nuances in multi-stakeholder agreement within youth psychotherapy.
Conclusions:
- Multi-stakeholder discrepancies can constructively inform youth psychotherapy treatment planning.
- Shared decision-making (SDM) shows promise as a method for integrating all stakeholder perspectives into treatment plans.
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