Effect of the Needs Management Program Based on Shared Decision Making on Unmet Needs and Recovery in Individuals With Severe Mental Illness at Community Mental Health Centers A Quasi-Experimental Feasibility and Pilot Study

TUNCER, GÜLSÜM; ÇETİNKAYA DUMAN, ZEKİYE

doi:10.3928/02793695-20250707-04

Effect of the Needs Management Program Based on Shared Decision Making on Unmet Needs and Recovery in Individuals With Severe Mental Illness at Community Mental Health Centers A Quasi-Experimental Feasibility and Pilot Study

TUNCER G. Z., ÇETİNKAYA DUMAN Z.

JOURNAL OF PSYCHOSOCIAL NURSING AND MENTAL HEALTH SERVICES, 2025 (SCI-Expanded)

Yayın Türü: Makale / Tam Makale
Basım Tarihi: 2025
Doi Numarası: 10.3928/02793695-20250707-04
Dergi Adı: JOURNAL OF PSYCHOSOCIAL NURSING AND MENTAL HEALTH SERVICES
Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, PASCAL, CINAHL, Psycinfo, DIALNET
Dokuz Eylül Üniversitesi Adresli: Evet

Özet

PURPOSE: To conduct a pilot trial of the Shared Decision Making-Needs Management Program (SDM-NeedMan) for individuals with severe mental illness (SMI) attending community mental health centers (CMHCs), focusing on unmet and total needs and recovery outcomes.
METHOD: This feasibility and pilot study had a pre-/posttest quasi-experimental design with no control group. Twenty-nine individuals with SMI who attended a CMHC from May 2023 to March 2024 completed the study. The intervention, selected from five independent modules of the SDM-NeedMan, was administered over three sessions. Outcomes were measured using the Camberwell Assessment of Need Short Appraisal Schedule (CANSAS) and Recovery Assessment Scale (RAS).
RESULTS: One module was applied to 23 participants, whereas an additional two modules were applied to six participants. Prior to the SDM-NeedMan intervention, mean unmet needs score on the CANSAS was 6.17 (SD = 3.18), which significantly decreased to 2.44 (SD = 1.95) after the intervention (t = -4.638, p < 0.05). Mean total needs score before the intervention was 8.89 (SD = 3.05), which significantly decreased to 5.62 (SD = 2.82) after the intervention (t = -4.556, p < 0.05). Mean total score on the RAS before the intervention was 63.57 (SD = 23.65), which significantly increased to 91.62 (SD = 18.1) after the intervention (t = -4.294, p < 0.05). CONCLUSION: Results provide initial evidence of the feasibility of the SDM-NeedMan by psychiatric-mental health nurses in CMHCs.