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Abstract：
OBJECTIVE: Although user participation and shared decision-making in formal statutory coordinated care planning are described as central, they remain to be implemented. The aim of this study is to explore how collaboration and shared decision-making in the social services can be realized in formal care planning activities with people with mental disabilities.
METHODS: We conducted eight workshops with 12 users and 17 caregivers to investigate existing barriers to and possible solutions for participation in coordinated care planning.
RESULTS: Workshop formats and techniques from participatory design generated rich research materials illustrating challenges currently experienced by users and caregivers in care planning work, as well as a large variety of solutions to these challenges. They also illustrated differences in how participation is understood and the conditions required to realize shared decision-making between users and caregivers.
CONCLUSIONS: An improved coordinated individual plan (CIP) process emerged, based on the active participation of users and caregivers. This process is a familiar and transparent process for users and caregivers, reflecting the needs and preferences of users at all stages. It requires careful preparation and collaboration with the users, as well as caregiver flexibility.
METHODS: We conducted eight workshops with 12 users and 17 caregivers to investigate existing barriers to and possible solutions for participation in coordinated care planning.
RESULTS: Workshop formats and techniques from participatory design generated rich research materials illustrating challenges currently experienced by users and caregivers in care planning work, as well as a large variety of solutions to these challenges. They also illustrated differences in how participation is understood and the conditions required to realize shared decision-making between users and caregivers.
CONCLUSIONS: An improved coordinated individual plan (CIP) process emerged, based on the active participation of users and caregivers. This process is a familiar and transparent process for users and caregivers, reflecting the needs and preferences of users at all stages. It requires careful preparation and collaboration with the users, as well as caregiver flexibility.
摘要：
目标：尽管正式的法定协调护理计划中的用户参与和共同决策被描述为核心，它们仍有待实施。这项研究的目的是探索如何在与智障人士的正式护理计划活动中实现社会服务中的协作和共同决策。
方法：我们与12名用户和17名护理人员进行了8次研讨会，以调查参与协调护理计划的现有障碍和可能的解决方案。
结果：来自参与式设计的研讨会格式和技术产生了丰富的研究材料，说明了用户和护理人员在护理计划工作中当前遇到的挑战，以及应对这些挑战的各种解决方案。他们还说明了如何理解参与以及实现用户和护理人员之间共享决策所需的条件方面的差异。
结论：出现了改进的协调个人计划（CIP）流程，基于用户和护理人员的积极参与。这个过程对于用户和护理人员来说是一个熟悉和透明的过程，反映用户在各个阶段的需求和偏好。它需要仔细的准备和与用户的协作，以及照顾者的灵活性。
方法：我们与12名用户和17名护理人员进行了8次研讨会，以调查参与协调护理计划的现有障碍和可能的解决方案。
结果：来自参与式设计的研讨会格式和技术产生了丰富的研究材料，说明了用户和护理人员在护理计划工作中当前遇到的挑战，以及应对这些挑战的各种解决方案。他们还说明了如何理解参与以及实现用户和护理人员之间共享决策所需的条件方面的差异。
结论：出现了改进的协调个人计划（CIP）流程，基于用户和护理人员的积极参与。这个过程对于用户和护理人员来说是一个熟悉和透明的过程，反映用户在各个阶段的需求和偏好。它需要仔细的准备和与用户的协作，以及照顾者的灵活性。
