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How might shared decision-making meetings reduce the need for children to be in care? A rapid realist review

Title: How might shared decision-making meetings reduce the need for children to be in care? A rapid realist review
Authors: Stabler, Lorna; O'Donnell, Chloe; Forrester, Donald; Diaz, Clive; Willis, Simone; Brand, Sarah
Publisher Information: SAGE Publications
Publication Year: 2025
Collection: Cardiff University: ORCA (Online Research @ Cardiff)
Subject Terms: H Social Sciences (General)
Description: Summary Meetings to enhance shared decision-making, such as family group conferences, potentially contribute to enhancing meaningful involvement of families. Such meetings are also claimed by some to reduce the need for children to be in care, either by increasing support from family for parents or by identifying care from within the family network. This rapid realist review aims to develop an understanding of how meetings that facilitate shared decision-making between professionals and families might work to safely reduce the need for children to be in care. It identifies mechanisms that are thought to make a difference and contextual factors that influence the impact of identified mechanisms. Findings A comprehensive search of academic and gray literature identified 64 documents spanning seven types of shared decision-making meetings. Data from these papers were collected using an iterative process of juxtaposition, comparison, contrast, and combination with a developing program theory. Data from the literature was supplemented with consultation to ensure relevance to the UK setting. The review identified three key mechanisms that made shared decision-making meetings more likely to be effective in safely reducing children's entry to care: enabling participation and engagement; building trust and reducing shame; enabling participation in decision-making processes. It describes how these work before, during, and after meetings. Applications The findings help us understand the complicated research findings about the relationship between meetings and care entry and provide a theory about what is needed to make such meetings work that is of practical use for practice and future research
Document Type: article in journal/newspaper
File Description: application/pdf
Language: English
Relation: https://orca.cardiff.ac.uk/id/eprint/172269/1/stabler-et-al-2024-how-might-shared-decision-making-meetings-reduce-the-need-for-children-to-be-in-care-a-rapid-realist.pdf; Stabler, Lorna https://orca.cardiff.ac.uk/view/cardiffauthors/A2401953V.html, O'Donnell, Chloe, Forrester, Donald https://orca.cardiff.ac.uk/view/cardiffauthors/A2224322Z.html orcid:0000-0002-2293-5718 orcid:0000-0002-2293-5718, Diaz, Clive https://orca.cardiff.ac.uk/view/cardiffauthors/A4548967.html orcid:0000-0001-5681-9056 orcid:0000-0001-5681-9056, Willis, Simone https://orca.cardiff.ac.uk/view/cardiffauthors/A2397912R.html orcid:0000-0003-3949-7651 orcid:0000-0003-3949-7651 and Brand, Sarah 2025. How might shared decision-making meetings reduce the need for children to be in care? A rapid realist review. Journal of Social Work 25 (1) , pp. 102-124. 10.1177/14680173241258891 https://doi.org/10.1177/14680173241258891 file https://orca.cardiff.ac.uk/id/eprint/172269/1/stabler-et-al-2024-how-might-shared-decision-making-meetings-reduce-the-need-for-children-to-be-in-care-a-rapid-realist.pdf
DOI: 10.1177/14680173241258891
Availability: https://orca.cardiff.ac.uk/id/eprint/172269/; https://doi.org/10.1177/14680173241258891
Rights: cc_by_nc_4_0
Accession Number: edsbas.804711FD
Database: BASE