Article

The Promise of Shared Decision Making in Mental Health

Psychiatric Rehabilitation Journal (Impact Factor: 1.16). 06/2010; 34(1):7-13. DOI: 10.2975/34.1.2010.7.13
Source: PubMed

ABSTRACT Shared decision making connotes a process, supported by specific information technologies, that reengineer how practitioners and people with diagnoses work together. The articles in this section of the journal provide just a glimpse of the activity underway to promote shared decision making in mental health. Nevertheless, they are important windows into the new world of possibilities regarding care planning, medication management and the use of information technology. Thus, in this paper we discuss the promise of shared decision making for advancing the field. (PsycINFO Database Record (c) 2013 APA, all rights reserved)

1 Follower
 · 
76 Views
  • [Show abstract] [Hide abstract]
    ABSTRACT: While assertive community treatment (ACT) is a widely implemented evidence-based practice, the extent of its recovery orientation has been debated. A literature search identified 16 empirical articles studying recovery and ACT. These 16 studies were classified as involving stakeholder perceptions, interventions, or fidelity measurement. Stakeholders generally viewed ACT as being recovery oriented; research on both interventions and fidelity measurement showed promising approaches. Overall the literature yielded encouraging findings regarding ACT and recovery, though there remains a dearth of research on the topic. We discuss future directions for research and practice to ensure that ACT programs skillfully support recovery.
    Administration and Policy in Mental Health and Mental Health Services Research 02/2015; DOI:10.1007/s10488-015-0631-3 · 3.44 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: To measure and compare the extent to which shared a decision making (SDM) process is implemented both in psychiatric outpatient clinical encounters and in the primary care setting from the patient's perspective. A total of 1,477 patients recruited from the Canary Islands Health Service mental health and primary care departments were invited to complete the nine-item Shared Decision Making Questionnaire (SDM-Q-9) immediately after their consultation. MANCOVA, Student's t-test, and Pearson correlations were used to assess the relationship and differences between SDM-Q-9 scores in patient samples. No differences were found in SDM-Q-9 total scores between the two patient samples, but there were relevant differences when item by item analysis was applied; differences were observed according to the different steps of the SDM process. SDM is present to a very limited extent in the routine psychiatric setting compared to primary care. Patients' age, education, type of appointment, and treatment decision all play a specific role in predicting SDM. The study provides evidence that SDM is a complex process that needs to be analyzed according to its different steps. SDM patterns were different in the primary care and psychiatric outpatient care settings and reflect quite a different perspective of the decision making process.
    Neuropsychiatric Disease and Treatment 07/2013; 9:1045-52. DOI:10.2147/NDT.S49021 · 2.15 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Objective: This study explored the association between shared decision making and consumers' illness management skills and consumer-provider relationships. Methods: Medication management appointments for 79 consumers were audio recorded. Independent coders rated overall shared decision making, minimum level of shared decision making, and consumer-provider agreement for 63 clients whose visit included a treatment decision. Mental health diagnoses, medication adherence, patient activation, illness management, working alliance, and length of consumer-provider relationships were also assessed. Correlation analyses were used to determine relationships among measures. Results: Overall shared decision making was not associated with any variables. Minimum levels of shared decision making were associated with higher scores on the bond subscale of the Working Alliance Inventory, indicating a higher degree of liking and trust, and with better medication adherence. Agreement was associated with shorter consumer-provider relationships. Conclusions: Consumer-provider relationships and shared decision making might have a more nuanced association than originally thought.
    Psychiatric services (Washington, D.C.) 09/2014; 65(12). DOI:10.1176/appi.ps.201300563 · 1.99 Impact Factor