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Clinical decision-making style preferences of European psychiatrists: Results from the Ambassadors survey in 38 countries
Martina Rojnic Kuzman, Mike Slade, Bernd Puschner, Elisabetta Scanferla, Zarko Bajic, Philippe Courtet, Jerzy Samochowiec, Celso Arango, Simavi Vahip, Maris Taube, Peter Falkai, Geert Dom, Lubomira Izakova, Bernardo Carpiniello, Marcella Bellani, Andrea Fiorillo, Oleg Skugarevsky, Alma Mihaljevic-Peles, Diogo Telles-Correia, Filipa Novais, Pavel Mohr, Johannes Wancata, Martin Hultén, Eka Chkonia, Judit Balazs, Julian Beezhold, Lars Lien, Goran Mihajlovic, Mirjana Delic, Gabriela Stoppe, Goran Racetovic, Dragan Babic, Ramune Mazaliauskiene, Doina Cozman, Simon Hjerrild, Jana Chihai, William Flannery, Tarja Melartin, Nataliya Maruta, Armen Soghoyan, Philip Gorwood
Journal: European Psychiatry / Volume 65 / Issue 1 / 2022
Published online by Cambridge University Press: 21 October 2022, e75
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Background
While shared clinical decision-making (SDM) is the preferred approach to decision-making in mental health care, its implementation in everyday clinical practice is still insufficient. The European Psychiatric Association undertook a study aiming to gather data on the clinical decision-making style preferences of psychiatrists working in Europe.
Methods
We conducted a cross-sectional online survey involving a sample of 751 psychiatrists and psychiatry specialist trainees from 38 European countries in 2021, using the Clinical Decision-Making Style – Staff questionnaire and a set of questions regarding clinicians’ expertise, training, and practice.
Results
SDM was the preferred decision-making style across all European regions ([central and eastern Europe, CEE], northern and western Europe [NWE], and southern Europe [SE]), with an average of 73% of clinical decisions being rated as SDM. However, we found significant differences in non-SDM decision-making styles: participants working in NWE countries more often prefer shared and active decision-making styles rather than passive styles when compared to other European regions, especially to the CEE. Additionally, psychiatry specialist trainees (compared to psychiatrists), those working mainly with outpatients (compared to those working mainly with inpatients) and those working in community mental health services/public services (compared to mixed and private settings) have a significantly lower preference for passive decision-making style.
Conclusions
The preferences for SDM styles among European psychiatrists are generally similar. However, the identified differences in the preferences for non-SDM styles across the regions call for more dialogue and educational efforts to harmonize practice across Europe.

Contents
Stuart Thomas, Mike Slade, University of Nottingham
Book: Camberwell Assessment of Need: Forensic Version
Published online: 13 April 2021
Print publication: 29 April 2021, pp v-v
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Chapter 7 - Using the Camberwell Assessment of Need Forensic Short Version (CANFOR-S)
Stuart Thomas, Mike Slade, University of Nottingham
Book: Camberwell Assessment of Need: Forensic Version
Published online: 13 April 2021
Print publication: 29 April 2021, pp 21-22
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Summary

Provides details on the use of the short one page version of the CANFOR: the CANFOR-S

Chapter 8 - Translations of the CANFOR
Stuart Thomas, Mike Slade, University of Nottingham
Book: Camberwell Assessment of Need: Forensic Version
Published online: 13 April 2021
Print publication: 29 April 2021, pp 23-23
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Summary

Provides brief details about translations of the CANFOR scales that have been completed along with brief details of those that have been published.

Chapter 2 - Needs Assessment
Stuart Thomas, Mike Slade, University of Nottingham
Book: Camberwell Assessment of Need: Forensic Version
Published online: 13 April 2021
Print publication: 29 April 2021, pp 3-5
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Summary

Overview of needs assessment and application to forensic mental health service users; summary of key research using the CANFOR scales; consideration of broader fit with issues of risk and recovery.

Chapter 6 - Using the Camberwell Assessment of Need Forensic Clinical Version (CANFOR-C)
Stuart Thomas, Mike Slade, University of Nottingham
Book: Camberwell Assessment of Need: Forensic Version
Published online: 13 April 2021
Print publication: 29 April 2021, pp 17-20
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Summary

Provides brief details on the development and use of the CANFOR-C and a full 25 page version of the CANFOR suitable for routine clinical use.

Chapter 10 - Frequently Asked Questions
Stuart Thomas, Mike Slade, University of Nottingham
Book: Camberwell Assessment of Need: Forensic Version
Published online: 13 April 2021
Print publication: 29 April 2021, pp 35-39
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Summary

Includes a list of common FAQs relating to all aspects of development, training and use of CANFOR scales.

Appendix 3 - Camberwell Assessment of Need Forensic Short Version (CANFOR-S), 2nd Edition
Stuart Thomas, Mike Slade, University of Nottingham
Book: Camberwell Assessment of Need: Forensic Version
Published online: 13 April 2021
Print publication: 29 April 2021, pp 94-96
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Index
Stuart Thomas, Mike Slade, University of Nottingham
Book: Camberwell Assessment of Need: Forensic Version
Published online: 13 April 2021
Print publication: 29 April 2021, pp 114-116
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Chapter 1 - Introduction
Stuart Thomas, Mike Slade, University of Nottingham
Book: Camberwell Assessment of Need: Forensic Version
Published online: 13 April 2021
Print publication: 29 April 2021, pp 1-2
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Summary

An introduction and orientation to 2nd edition of book, outlining changes/updates made.

Copyright page
Stuart Thomas, Mike Slade, University of Nottingham
Book: Camberwell Assessment of Need: Forensic Version
Published online: 13 April 2021
Print publication: 29 April 2021, pp iv-iv
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Chapter 4 - Practicalities of Using the CANFOR Scales
Stuart Thomas, Mike Slade, University of Nottingham
Book: Camberwell Assessment of Need: Forensic Version
Published online: 13 April 2021
Print publication: 29 April 2021, pp 8-12
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Summary

Outlines the 25 different need domains, includes suggested apporach to interviewing service users/staff.

Abbreviations
Stuart Thomas, Mike Slade, University of Nottingham
Book: Camberwell Assessment of Need: Forensic Version
Published online: 13 April 2021
Print publication: 29 April 2021, pp vii-viii
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Appendix 2 - Camberwell Assessment of Need Forensic Clinical Version (CANFOR-C), 2nd Edition
Stuart Thomas, Mike Slade, University of Nottingham
Book: Camberwell Assessment of Need: Forensic Version
Published online: 13 April 2021
Print publication: 29 April 2021, pp 67-93
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Chapter 5 - Using the Camberwell Assessment of Need Forensic Research Version (CANFOR-R)
Stuart Thomas, Mike Slade, University of Nottingham
Book: Camberwell Assessment of Need: Forensic Version
Published online: 13 April 2021
Print publication: 29 April 2021, pp 13-16
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Summary

Provides brief details on the development and use of the CANFOR-R and a full 25 page version of the CANFOR suitable for research use.

Acknowledgements
Stuart Thomas, Mike Slade, University of Nottingham
Book: Camberwell Assessment of Need: Forensic Version
Published online: 13 April 2021
Print publication: 29 April 2021, pp vi-vi
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Appendix 1 - Camberwell Assessment of Need Forensic Research Version (CANFOR-R), 2nd Edition
Stuart Thomas, Mike Slade, University of Nottingham
Book: Camberwell Assessment of Need: Forensic Version
Published online: 13 April 2021
Print publication: 29 April 2021, pp 40-66
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Chapter 3 - Development of the Camberwell Assessment of Need Forensic Version (CANFOR)
Stuart Thomas, Mike Slade, University of Nottingham
Book: Camberwell Assessment of Need: Forensic Version
Published online: 13 April 2021
Print publication: 29 April 2021, pp 6-7
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Summary

Outlines the development of the CANFOR scales, including details about its psychometric properties

Appendix 5 - CANFOR Reliability and Validity Paper
Stuart Thomas, Mike Slade, University of Nottingham
Book: Camberwell Assessment of Need: Forensic Version
Published online: 13 April 2021
Print publication: 29 April 2021, pp 100-110
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Appendices
Stuart Thomas, Mike Slade, University of Nottingham
Book: Camberwell Assessment of Need: Forensic Version
Published online: 13 April 2021
Print publication: 29 April 2021, pp 40-110
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Clinical decision-making style preferences of European psychiatrists: Results from the Ambassadors survey in 38 countries

Contents

Chapter 7 - Using the Camberwell Assessment of Need Forensic Short Version (CANFOR-S)

Summary

Chapter 8 - Translations of the CANFOR

Summary

Chapter 2 - Needs Assessment

Summary

Chapter 6 - Using the Camberwell Assessment of Need Forensic Clinical Version (CANFOR-C)

Summary

Chapter 10 - Frequently Asked Questions

Summary

Appendix 3 - Camberwell Assessment of Need Forensic Short Version (CANFOR-S), 2nd Edition

Index

Chapter 1 - Introduction

Summary

Copyright page

Chapter 4 - Practicalities of Using the CANFOR Scales

Summary

Abbreviations

Appendix 2 - Camberwell Assessment of Need Forensic Clinical Version (CANFOR-C), 2nd Edition

Chapter 5 - Using the Camberwell Assessment of Need Forensic Research Version (CANFOR-R)

Summary

Acknowledgements

Appendix 1 - Camberwell Assessment of Need Forensic Research Version (CANFOR-R), 2nd Edition

Chapter 3 - Development of the Camberwell Assessment of Need Forensic Version (CANFOR)

Summary

Appendix 5 - CANFOR Reliability and Validity Paper

Appendices

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177 results

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