TY - JOUR
AU - M. A. Barnhoorn-Bos
AU - E. A. Mulder
AU - Rrjm Vermeiren
AU - H. C. Heek
AU - E. Janssen
AU - L. A. Nooteboom
A1 - 
AB - In shared decision-making (SDM) with families facing complex problems, interprofessional decision-making is an essential part of providing appropriate care yet complicated by the differing perspectives and responsibilities of professionals involved. To strengthen interprofessional decision-making often multidisciplinary teams, such as Specialist Integrated care Teams (SITs), are organized. Since little is known on how interprofessional decision-making is practiced in this setting, this study explores facilitators and barriers of interprofessional decision-making within SITs and with other care services. We gathered perspectives of families, professionals, and organizational managers of SITs by 43 semi-structured interviews and conducted 40 observations of SITs multidisciplinary team meetings. Reflexive Thematic Analysis was applied to analyze the transcripts both deductively and inductively. Four categories of facilitators and barriers for interprofessional decision-making within SITs (on the professional, team, and organizational level) and with other care services were formulated: (1) organizing decision-making, (2) dealing with differing opinions, (3) motivation for interprofessional decision-making, and (4) embedding interprofessional decision-making in SDM with families. In SDM with families facing complex problems, professionals and services need to balance decision-making both in multidisciplinary teams and with other care services, considering a formal organization of decision-making, integrating professional perspectives, and keeping the family in the center of decision-making.
AD - LUMC Curium - Department of Child and Adolescent Psychiatry, Leiden University Medical Center Post, Leiden, The Netherlands.; GGZ Rivierduinen Children and Youth, Institute for Mental Health, Leiden, The Netherlands.; Research Institute Child Development and Education, University of Amsterdam, Amsterdam, The Netherlands.; Department of Child- and Adolescent Psychiatry and Psychosocial Care, AmsterdamUMC, Amsterdam, The Netherlands.; Youz, Parnassia Group, The Hague, The Netherlands.
AN - 41527888
BT - J Interprof Care
C5 - Education & Workforce
CP - 2
DA - Mar-Apr
DO - 10.1080/13561820.2025.2609089
DP - NLM
ET - 20260113
IS - 2
JF - J Interprof Care
LA - eng
N2 - In shared decision-making (SDM) with families facing complex problems, interprofessional decision-making is an essential part of providing appropriate care yet complicated by the differing perspectives and responsibilities of professionals involved. To strengthen interprofessional decision-making often multidisciplinary teams, such as Specialist Integrated care Teams (SITs), are organized. Since little is known on how interprofessional decision-making is practiced in this setting, this study explores facilitators and barriers of interprofessional decision-making within SITs and with other care services. We gathered perspectives of families, professionals, and organizational managers of SITs by 43 semi-structured interviews and conducted 40 observations of SITs multidisciplinary team meetings. Reflexive Thematic Analysis was applied to analyze the transcripts both deductively and inductively. Four categories of facilitators and barriers for interprofessional decision-making within SITs (on the professional, team, and organizational level) and with other care services were formulated: (1) organizing decision-making, (2) dealing with differing opinions, (3) motivation for interprofessional decision-making, and (4) embedding interprofessional decision-making in SDM with families. In SDM with families facing complex problems, professionals and services need to balance decision-making both in multidisciplinary teams and with other care services, considering a formal organization of decision-making, integrating professional perspectives, and keeping the family in the center of decision-making.
PY - 2026
SN - 1356-1820
SP - 226
EP - 238+
ST - Interprofessional decision-making in integrated youth care: a qualitative study
T1 - Interprofessional decision-making in integrated youth care: a qualitative study
T2 - J Interprof Care
TI - Interprofessional decision-making in integrated youth care: a qualitative study
U1 - Education & Workforce
U3 - 10.1080/13561820.2025.2609089
VL - 40
VO - 1356-1820
Y1 - 2026
ER -