the power of shared decision making in the assessment of needs · this visual tool i get an...
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The Power of Shared Decision Makingin the assessment of needs
Marjanne Bontje & Mascha KamphuisGGD HM, JGZZHW, The Netherlands
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1. Do you work directly with parents and/or adolescents?
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2. Do you stimulate active participation of your clients in the assessment process?
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3. Do you work according a structured method?
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4. Do you use visual tools in the assessment process?
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5. Is the method scientifically researched?
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IntroducingGezamenlijkInschatten
Zorgbehoeften
Development,Implementation
Research
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Needs assessment intervention effect
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What is the GIZ method?
• Target group: parents (0‐23), children, adolescents, young people
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Transition professional
• one‐direction active participation client in the assessment and share decision making
• Problem focussed strenghts
• Fragmentation whole child in relation toparents and environment
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Adolescent:“I could easily tell about how I am doing, at home and at school.”
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Mother: ‘Normally speaking you forget what you have told. With this visual tool I get an overview of my strenghts and needs.
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Development 2011 ‐ 2013
• Context: Academic Collaborative Centre
• Scientific and practical based
• Tailored to the needs of parents, adolescents and professionals
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2013 Pilot GIZ YHC N= 634
Parents, adolescents: • Schedules: understandeble, useful.• Own contribution higher than professionals, • Agreements on care Professionals • GIZ= workable
Advise: Training, schedules for language barrier
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Implementation
• Dissemination: information• Adoption: support• Implementation: training, coördinators• Continuation: intervision
integration in workprocessmonitoring use
• > 2500 professionals YHC & YC• 2016: Regional ‐> National Institute Youth Health (NCJ)
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Research effects
• Consolidation
• Importance to study effectivess of methods
• YHC; Prevention hard to study– Results are often far away
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Study design (1)
• Comparing YHC organisations workingwith / without GIZ
• Outcome measures– Agreement on needs to care: parent versus professional – Experience with shared decision making: parent – Motivation to start with follow‐up/ care needs: parent
Contacts: 6 months, 2 yrs, group 2 / 5‐6 yrsResearch on Indication : 0‐12 years
April 2016 – december 2018
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Study design (2)Questionnaires: • Parents:
o after GIZo after 4 months
• Professional:o after GIZo experience
Child file
! Validated questionnaires developed for care
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Inclusion
• Regular: +• Difficult: control group, OI• Results: autumn 2018