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Integrating service user and practitioner expertise within a web-based system for collaborative mental-health risk and safety management.
- Source :
-
Patient Education & Counseling . Oct2015, Vol. 98 Issue 10, p1189-1196. 8p. - Publication Year :
- 2015
-
Abstract
- <bold>Objectives: </bold>To develop a decision support system (DSS), myGRaCE, that integrates service user (SU) and practitioner expertise about mental health and associated risks of suicide, self-harm, harm to others, self-neglect, and vulnerability. The intention is to help SUs assess and manage their own mental health collaboratively with practitioners.<bold>Methods: </bold>An iterative process involving interviews, focus groups, and agile software development with 115 SUs, to elicit and implement myGRaCE requirements.<bold>Results: </bold>Findings highlight shared understanding of mental health risk between SUs and practitioners that can be integrated within a single model. However, important differences were revealed in SUs' preferred process of assessing risks and safety, which are reflected in the distinctive interface, navigation, tool functionality and language developed for myGRaCE. A challenge was how to provide flexible access without overwhelming and confusing users.<bold>Conclusion: </bold>The methods show that practitioner expertise can be reformulated in a format that simultaneously captures SU expertise, to provide a tool highly valued by SUs. A stepped process adds necessary structure to the assessment, each step with its own feedback and guidance.<bold>Practice Implications: </bold>The GRiST web-based DSS (www.egrist.org) links and integrates myGRaCE self-assessments with GRiST practitioner assessments for supporting collaborative and self-managed healthcare. [ABSTRACT FROM AUTHOR]
- Subjects :
- *MENTAL health
*EXPERTISE
*MEDICAL personnel
*INTERNET in medicine
*HEALTH risk assessment
*DECISION support systems
*COMPARATIVE studies
*COOPERATIVENESS
*FOCUS groups
*INFORMATION storage & retrieval systems
*MEDICAL databases
*INTERNET
*INTERVIEWING
*RESEARCH methodology
*MEDICAL cooperation
*MENTAL health services
*RESEARCH
*RISK assessment
*SAFETY
*HEALTH self-care
*USER interfaces
*EVALUATION research
*SOFTWARE architecture
Subjects
Details
- Language :
- English
- ISSN :
- 07383991
- Volume :
- 98
- Issue :
- 10
- Database :
- Academic Search Index
- Journal :
- Patient Education & Counseling
- Publication Type :
- Academic Journal
- Accession number :
- 109445645
- Full Text :
- https://doi.org/10.1016/j.pec.2015.08.018