ERIC Number: EJ1019715
Record Type: Journal
Publication Date: 2013-Nov
Abstractor: As Provided
Reference Count: 67
Shared Decision Making for Clients with Mental Illness: A Randomized Factorial Survey
Lukens, Jonathan M.; Solomon, Phyllis; Sorenson, Susan B.
Research on Social Work Practice, v23 n6 p694-705 Nov 2013
Objective: The goal of this study was to test the degree to which client clinical characteristics and environmental context and social workers' practice values and experience influenced support for client's autonomy and willingness to engage in shared decision making (SDM), and whether willingness to engage in SDM was mediated by support for autonomy. Method: A randomized factorial survey of social workers working with adults with severe mental illness was employed. Eighty-seven social workers responded yielding 435 vignettes. Results: Hypotheses were partially supported. Diagnosis, symptomology, threats of harm, treatment adherence, substance use, and social workers' values and experience predicted support for autonomy and willingness to engage in SDM. Willingness to engage in SDM was modestly mediated by support for autonomy. Conclusion: Helping social workers avoid bias in decision making is critical to the goal of supporting clients' autonomy, building their capacity, minimizing disempowerment, and promoting recovery.
Descriptors: Participative Decision Making, Client Characteristics (Human Services), Social Work, Caseworkers, Context Effect, Personal Autonomy, Adults, Mental Disorders, Vignettes, Individual Characteristics, Measures (Individuals), Factor Analysis, Identification, Symptoms (Individual Disorders), Injuries, Substance Abuse, Values, Work Experience, Regression (Statistics)
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Publication Type: Reports - Research; Journal Articles
Education Level: N/A
Authoring Institution: N/A
Identifiers - Location: Pennsylvania