The Promise of Shared Decision Making in Mental Health

ArticleinPsychiatric Rehabilitation Journal 34(1):7-13 · June 2010with29 Reads
DOI: 10.2975/34.1.2010.7.13 · Source: PubMed
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)
    • "The proposal of a model of Recovery is seen to favour power remaining with clinicians instead of promoting the individual's own expertise and ownership of their experience, as a Recovery model would be predominantly owned and utilised by clinicians (Bracken, 2007; Deegan, 2007). As participants and literature have clearly emphasised, Recovery is not something that can be imposed from outside and, instead, must be led by the person experiencing mental health challenges (Drake, Deegan, & Rapp, 2010; Mead & MacNeil, 2006; Scott, 2010). As recent literature attests, misinterpretation of the concepts results in outcomes that fundamentally contradict the Recovery goals of autonomy and empowerment (Cleary, Walter, & Hungerford, 2014; Rose, 2014). "
    [Show abstract] [Hide abstract] ABSTRACT: Recovery is government mandated and a core facet of mental health reform. However, Recovery implementation in this country (Australia) has been inhibited by a lack of education of, and understanding from, clinicians. A grounded theory study was undertaken to explore the potential and existing role of lived experience practitioners in assisting meaningful implementations of Recovery within the Australian mental health sector. In-depth interviews were conducted with 13 people employed to work from a lived experience perspective. The findings suggest participants have experienced and observed significant barriers to the implementation of Recovery-focused practice while operating in lived experience roles. Three main issues emerged: (1) Recovery co-opted, (2) Recovery uptake, and (3) Recovery denial. For a genuine Recovery-focused mental health system to be developed, lived experience practitioners must be enabled to take their role as Recovery experts and leaders. Lived experience practitioners are the logical leaders of Recovery implementation due to their own internal experience and understandings of Recovery and the wider lived experience movement's development and championing of the concepts.
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    • "A statement in an article by Drake et al. summarizes the most important aspect of SDM. " Shared decision-making is an alternative to the wounding practice of medical paternalism, because it honors and values the voices of people with diagnoses " [60]. The " wounding of paternalism " led to SAMHSA's publication of " Shared Decision-Making in Mental Health Care: Practice, Research, and Future Directions " (SAMHSA) [7,61]. "
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    • "Psychiatry operates across multiple dimensions within the bio-psycho-social model of illness conceptualization. There are various theoretical underpinnings within psychiatry, some of which espouse a focus on recovery-oriented models of care more than others, e.g., by using a shared decision making approach [5]. Occupational therapy emphasizes enhancing individuals' functional abilities in various environments to enable participation in occupations (personally meaningful tasks/activities) and maximize performance or potential [6]. "
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