Integrating service user and practitioner expertise within a web-based system for collaborative mental-health risk and safety management

Document Type
Journal
Author
C.D.Buckingham et al
Description

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.

Publication Date
Thu, 2015-01-01 00:00
Publication Title
Patient Education and Counseling
Volume Number
98
Pages
1189-1196
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