Search

Copyright of European Journal of Social Work is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Although user participation and shared decision-making in formal statutory coordinated care planning are described as central, they remain to be implemented. The aim of this study is to explore how collaboration and shared decision-making in the social services can be realized in formal care planning activities with people with mental disabilities. We conducted eight workshops with 12 users and 17 caregivers to investigate existing barriers to and possible solutions for participation in coordinated care planning. Workshop formats and techniques from participatory design generated rich research materials illustrating challenges currently experienced by users and caregivers in care planning work, as well as a large variety of solutions to these challenges. They also illustrated differences in how participation is understood and the conditions required to realize shared decision-making between users and caregivers. An improved coordinated individual plan (CIP) process emerged, based on the active participation of users and caregivers. This process is a familiar and transparent process for users and caregivers, reflecting the needs and preferences of users at all stages. It requires careful preparation and collaboration with the users, as well as caregiver flexibility. [ABSTRACT FROM AUTHOR]

• Through participatory design, a set of dynamic dialogue cards has been developed. • Inclusive techniques allow for participants to give voice in various ways. • The workshop approach revealed tensions between professionals and users' perspectives. • A tool to enhance participation requires to be simple, yet rich and contextualized. • This study reaches a clear participant contribution, aiming towards collaboration. There is an emphasis on user participation in social work. The arguments derive from both a democratic and a consumerist approach, aiming on the one hand to equalize power between users and professionals, and on the other hand, for more efficient and legitimized services. However, research shows that there is a lack of knowledge about methods and conditions for realizing user participation in social services. In this exploratory study, grounded in participatory design, a set of four workshops took place, enabling young people, social workers and researchers to participate in the design process. The data were analysed with affinity analysis, a technique whereby the data are sorted with "I" labels, to stay close to the material. Also, written feedback and reflections from participants as well as oral feedback and reflections were generated, documented and integrated with the affinity analysis. The main findings concern how the participatory approach revealed tensions between the participants' different perspectives on user participation, which in turn contributed to the shaping of a dynamic tool. The findings imply that the tool needed to be both "fair and square" to ensure equality for all young people, and dynamic and flexible to meet the uniqueness of each young person. Moreover, the tool needed to be both rich and contextualized to meet the need for information and participation throughout the transition process, and simple and accessible to meet the acute nature of many transitions as well as the overall time constraints within social work practice. The research process reached the level of contribution , with involvement in some but not all stages labelled as collaboration. The wide range of expertise involved in the design process provides a good basis for the tool to be able to address the need for increased user participation in social work practice. [ABSTRACT FROM AUTHOR]