Abstract
Objectives: 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. Methods: An iterative process involving interviews, focus groups, and agile software development with 115 SUs, to elicit and implement myGRaCE requirements. Results: 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. Conclusion: 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. Practice Implications: 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.
Original language | English |
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Pages (from-to) | 1189-1196 |
Number of pages | 8 |
Journal | Patient Education and Counseling |
Volume | 98 |
Issue number | 10 |
Early online date | 14 Aug 2015 |
DOIs | |
Publication status | Published - Oct 2015 |
Event | International Conference on Communication in Healthcare - Amsterdam, Netherlands Duration: 28 Sept 2014 → 1 Oct 2014 |
Bibliographical note
Communication in Healthcare: Best papers from the International Conference on Communication in Healthcare, Amsterdam, The Netherlands, 28 September - 1 October 2014Keywords
- clinical decision support systems
- cognitive modelling
- collaborative healthcare
- GRaCE
- GRiST
- mental health
- risk assessment
- self-management