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Relationships of Shared Decision Making with Parental Perceptions of Child Mental Health Functioning and Care

Administration and Policy in Mental Health and Mental Health Services Research volume 42, pages 767–774 (2015)Cite this article

Abstract

Experts encourage parents and practitioners to engage in shared decision making (SDM) to provide high quality child mental health care. However, little is known regarding SDM among families of children with common mental health conditions. The objectives of this study were to examine associations between parental report of SDM and parental perceptions of (a) receiving child mental health care and (b) child mental health functioning. We analyzed cross-sectional data on children with a common mental health condition (attention-deficit hyperactivity disorder, oppositional-defiant or conduct disorder, anxiety, or depression) from the 2009/2010 National Survey of Children with Special Healthcare Needs (N = 9,434). The primary independent variable was parent-reported SDM, and the dependent variables were parental perception of (a) their child receiving all needed mental health care (b) their children’s impairment in school attendance and extracurricular activity participation, and (c) severity of their children’s mental health condition. Multivariate logistic and multinomial regression analyses were conducted. Greater parent-reported SDM was associated with parental perceptions of receiving all needed child mental health care and children not having school or extracurricular impairment. Greater SDM was also associated with perceptions of children having a mild mental health condition compared to children having a moderate or severe condition. Findings provide a basis for future longitudinal and intervention studies to examine the benefit of SDM for improving parental perceptions of the quality of child mental health care and mental health functioning among children with common mental health conditions.

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Affiliations

  1. Department of Pediatrics, Baylor College of Medicine, 1102 Bates St., Suite 940, Houston, TX, 77030, USA

    Ashley M. Butler & Courtney Titus

  2. Department of Psychiatry and Behavioral Sciences, Duke University, Durham, NC, USA

    Bridget Weller

Authors
  1. Ashley M. Butler
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  2. Bridget Weller
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  3. Courtney Titus
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Correspondence to Ashley M. Butler.

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Butler, A.M., Weller, B. & Titus, C. Relationships of Shared Decision Making with Parental Perceptions of Child Mental Health Functioning and Care. Adm Policy Ment Health 42, 767–774 (2015). https://doi.org/10.1007/s10488-014-0612-y

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  • DOI: https://doi.org/10.1007/s10488-014-0612-y

Keywords

  • Child
  • Shared decision making
  • Mental health
  • Mental health functioning
  • Mental health impairment