Implementing CommonGround in a Community Mental Health Center: Lessons in a Computerized Decision Support System

Overview

Journal Psychiatr Rehabil J

Publisher American Psychological Association

Specialty Psychiatry

Date 2016 Oct 13

PMID 27732033

Citations 14

Authors

Kelsey A Bonfils

Kimberly C Dreison

Lauren Luther

Sadaaki Fukui

Abigail E Dempsey

Charles A Rapp

Michelle P Salyers

Affiliations

Soon will be listed here.

Abstract

Objective: Although shared decision making (SDM) is a key element of client-centered care, it has not been widely adopted. Accordingly, interventions have been developed to promote SDM. The aim of this study was to explore the implementation process of one SDM intervention, CommonGround, which utilizes peer specialists and a computerized decision support center to promote SDM.

Method: As part of a larger study, CommonGround was implemented in 4 treatment teams in a community mental health center. The implementation process was examined by conducting semistructured interviews with 12 staff members that were integral to the CommonGround implementation. Responses were analyzed using content analysis. Program fidelity and client program use were also examined.

Results: Although key informants identified several client and staff benefits to using CommonGround, including improved treatment engagement and availability of peer specialists, most clients did not use CommonGround consistently throughout the implementation. Key informants and fidelity reports indicated a number of program (e.g., technological difficulties, increased staff burden) and contextual barriers (e.g., poor fit with service structure, decision support center location, low staff investment and high turnover) to the successful implementation of CommonGround. Strategies to maximize the implementation by increasing awareness, buy-in, and utilization are also reported.

Conclusions And Implications For Practice: This implementation of CommonGround was limited in its success partly as a result of program and contextual barriers. Future implementations may benefit from incorporating the strategies identified to maximize implementation in order to obtain the full program benefits. (PsycINFO Database Record

Citing Articles

Case Study Analysis of a Decision Coaching Intervention for Young Adults with Early Psychosis.

Thomas E, Lucksted A, Siminoff L, Hurford I, OConnell M, Penn D Community Ment Health J. 2025; .

PMID: 39746883 DOI: 10.1007/s10597-024-01425-w.

Comparison of analog and digital patient decision aids for the treatment of depression: a scoping review.

Sedlakova J, Westermair A, Biller-Andorno N, Meier C, Trachsel M Front Digit Health. 2023; 5:1208889.

PMID: 37744684 PMC: 10513051. DOI: 10.3389/fdgth.2023.1208889.

Facilitating treatment engagement for early psychosis through peer-delivered decision support: intervention development and protocol for pilot evaluation.

Thomas E, Suarez J, Lucksted A, Siminoff L, Hurford I, Dixon L Pilot Feasibility Stud. 2021; 7(1):189.

PMID: 34689830 PMC: 8543800. DOI: 10.1186/s40814-021-00927-8.

Skills-based intervention to enhance collaborative decision-making: systematic adaptation and open trial protocol for veterans with psychosis.

Treichler E, Rabin B, Spaulding W, Thomas M, Salyers M, Granholm E Pilot Feasibility Stud. 2021; 7(1):89.

PMID: 33781352 PMC: 8005669. DOI: 10.1186/s40814-021-00820-4.

Treatment decision-making needs among emerging adults with early psychosis.

Thomas E, Suarez J, Lucksted A, Siminoff L, Hurford I, Dixon L Early Interv Psychiatry. 2021; 16(1):78-90.

PMID: 33599089 PMC: 9116145. DOI: 10.1111/eip.13134.

References

Berwick D . Developing and testing changes in delivery of care. Ann Intern Med. 1998; 128(8):651-6. DOI: 10.7326/0003-4819-128-8-199804150-00009. View

Mahone I, Farrell S, Hinton I, Johnson R, Moody D, Rifkin K . Shared decision making in mental health treatment: qualitative findings from stakeholder focus groups. Arch Psychiatr Nurs. 2011; 25(6):e27-36. PMC: 3224341. DOI: 10.1016/j.apnu.2011.04.003. View

Hamann J, Mendel R, Meier A, Asani F, Pausch E, Leucht S . "How to speak to your psychiatrist": shared decision-making training for inpatients with schizophrenia. Psychiatr Serv. 2011; 62(10):1218-21. DOI: 10.1176/ps.62.10.pss6210_1218. View

Kuosmanen L, Jakobsson T, Hyttinen J, Koivunen M, Valimaki M . Usability evaluation of a web-based patient information system for individuals with severe mental health problems. J Adv Nurs. 2010; 66(12):2701-10. DOI: 10.1111/j.1365-2648.2010.05411.x. View

Damschroder L, Banaszak-Holl J, Kowalski C, Forman J, Saint S, Krein S . The role of the champion in infection prevention: results from a multisite qualitative study. Qual Saf Health Care. 2009; 18(6):434-40. DOI: 10.1136/qshc.2009.034199. View

Deegan P . A web application to support recovery and shared decision making in psychiatric medication clinics. Psychiatr Rehabil J. 2010; 34(1):23-8. DOI: 10.2975/34.1.2010.23.28. View

Kondracki N, Wellman N, Amundson D . Content analysis: review of methods and their applications in nutrition education. J Nutr Educ Behav. 2002; 34(4):224-30. DOI: 10.1016/s1499-4046(06)60097-3. View

Mays N, Pope C . Qualitative research in health care. Assessing quality in qualitative research. BMJ. 2000; 320(7226):50-2. PMC: 1117321. DOI: 10.1136/bmj.320.7226.50. View

Matthias M, Salyers M, Rollins A, Frankel R . Decision making in recovery-oriented mental health care. Psychiatr Rehabil J. 2012; 35(4):305-14. PMC: 3980461. DOI: 10.2975/35.4.2012.305.314. View

10.

Woltmann E, Whitley R . Shared decision making in public mental health care: perspectives from consumers living with severe mental illness. Psychiatr Rehabil J. 2010; 34(1):29-36. DOI: 10.2975/34.1.2010.29.36. View

11.

Fukui S, Salyers M, Matthias M, Collins L, Thompson J, Coffman M . Predictors of shared decision making and level of agreement between consumers and providers in psychiatric care. Community Ment Health J. 2013; 50(4):375-82. PMC: 3980460. DOI: 10.1007/s10597-012-9584-0. View

12.

Goss C, Moretti F, Mazzi M, Del Piccolo L, Rimondini M, Zimmermann C . Involving patients in decisions during psychiatric consultations. Br J Psychiatry. 2008; 193(5):416-21. DOI: 10.1192/bjp.bp.107.048728. View

13.

Torrey W, Lynde D, Gorman P . Promoting the implementation of practices that are supported by research: the National Implementing Evidence-Based Practice Project. Child Adolesc Psychiatr Clin N Am. 2005; 14(2):297-306, ix. DOI: 10.1016/j.chc.2004.05.004. View

14.

Torrey W, Drake R, Dixon L, Burns B, Flynn L, Rush A . Implementing evidence-based practices for persons with severe mental illnesses. Psychiatr Serv. 2001; 52(1):45-50. DOI: 10.1176/appi.ps.52.1.45. View

15.

Charles C, Gafni A, Whelan T . Shared decision-making in the medical encounter: what does it mean? (or it takes at least two to tango). Soc Sci Med. 1997; 44(5):681-92. DOI: 10.1016/s0277-9536(96)00221-3. View

16.

Hsieh H, Shannon S . Three approaches to qualitative content analysis. Qual Health Res. 2005; 15(9):1277-88. DOI: 10.1177/1049732305276687. View

17.

Bartels S, Aschbrenner K, Rolin S, Hendrick D, Naslund J, Faber M . Activating older adults with serious mental illness for collaborative primary care visits. Psychiatr Rehabil J. 2013; 36(4):278-88. PMC: 4994809. DOI: 10.1037/prj0000024. View

18.

Deegan P, Drake R . Shared decision making and medication management in the recovery process. Psychiatr Serv. 2006; 57(11):1636-9. DOI: 10.1176/ps.2006.57.11.1636. View

19.

Salyers M, Matthias M, Fukui S, Holter M, Collins L, Rose N . A coding system to measure elements of shared decision making during psychiatric visits. Psychiatr Serv. 2012; 63(8):779-84. PMC: 3982790. DOI: 10.1176/appi.ps.201100496. View

20.

Priebe S, Kelley L, Omer S, Golden E, Walsh S, Khanom H . The Effectiveness of a Patient-Centred Assessment with a Solution-Focused Approach (DIALOG+) for Patients with Psychosis: A Pragmatic Cluster-Randomised Controlled Trial in Community Care. Psychother Psychosom. 2015; 84(5):304-13. DOI: 10.1159/000430991. View