Perspectives of Patients and Providers in Using Shared Decision Making in Psychiatry

Overview

Journal Community Ment Health J

Specialty Health Services

Date 2021 Jun 27

PMID 34176054

Citations 1

Authors

Natalie J Maples

Dawn I Velligan

Eric C Jones

Erin M Espinosa

Robert O Morgan

Melissa A Valerio-Shewmaker

Affiliations

Soon will be listed here.

Abstract

There is increased interest over the last decade in the use of Shared Decision Making with individuals with serious mental illness to improve engagement in treatment and clinical outcomes. We conducted semi-structured qualitative interviews with 15 individuals with serious mental illness treated in an outpatient transitional care clinic serving people immediately after discharge from a psychiatric hospitalization. Parallel interviews were conducted with a variety of clinical providers (n = 9). Using latent thematic analysis, six themes were identified including: (1) Differences in the Use of SDM, (2) Consideration of Past Experiences, (3) Decisional Power Preferences, (4) Use of SDM in Psychiatry Versus Other Areas of Medicine, (5) Dignity and Disengagement, and (6) External Forces Impacting SDM. Implications for clinical practice and research using a shared decision-making approach within this treatment setting are further discussed.

Citing Articles

Challenges to Employing Shared Decision Making With Adults Under Community Supervision Who Have a Mental Illness.

Matejkowski J Front Psychiatry. 2021; 12:773411.

PMID: 34803780 PMC: 8599275. DOI: 10.3389/fpsyt.2021.773411.

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