Table 2.

Decision Points Reported during Early Engagement in EIP

Decision Points About…	N (%) Mentioning Decision	N (%) Indicating Decision Most Difficult/Complicated	Exemplar Quotes
Treatment/life goals (e.g., work or go to school first?) †	19 (95%)	6 (30%)	“In therapy, [I] made the decision to get into school” .
Whether to continue taking medication	10 (50%)	3 (15%)	“There was one medication that we both decided to not continue” .
Changing medications (e.g., switch from pills to injectables?)	17 (85%)	2 (10%)	“I actually changed my prescription to a medicine that causes less weight gain” .
Participating in program social activities (e.g., go to groups?)	15 (75%)	2 (10%)	“One of the first things she brought up was the options for group, and I didn’t really know what types of group I wanted” .
Whether to continue in the EIP program	14 (70%)	2 (10%)	“I have been having conversations with my mom regarding [EIP program], like …whether or not [to stay here]” .
Whether to start medication	11 (55%)	2 (10%)	“…Prior to getting into [EIP Program], I had been off of medication for quite some time. And I was given the choice of whether to get back on some type of meds or to continue without it and see how that goes” .
Whether to continue specific EIP service (non-pharmacological)	7 (35%)	1 (5%)	“Going to the therapy…Sometimes I didn’t want to” .
Self-disclosure (e.g., open up to therapist?)	6 (30%)	1 (5%)	“Being completely honest about how I felt…” .
Using external mental health/medical services	3 (15%)	1 (5%)	“Whether or not I wanted to go to the hospital” .
Involving family in the EIP program	13 (65%)	0 (0%)	“They asked me who I wanted to be part of my family meeting and stuff. I asked if my aunt could be in it. They said yes but they also said I had to include my mom too” .
Level of involvement in EIP program (e.g., how often to come?)	8 (40%)	0 (0%)	“I didn’t want to be that involved inside of the [EIP program]. But at the same time, I didn’t know how helpful it could be” .
Whether to start therapy	4 (20%)	0 (0%)	“I made a decision to start therapy with [A]” .
Program participation logistics (e.g., timing of appointments?)	4 (20%)	0 (0%)	“Fitting appointments in my day” .
Using information/skills/strategies learned in program in daily life	2 (10%)	0 (0%)	“[The decision] was to meditate and meditate while in the shower, while I’m going to bed. Just meditate all the time so it can make me feel better. And it makes me not be able to go fall back into depression” .

^†Italicized decisions were those that were specifically asked about during qualitative interviews.