Implementing shared decision making in routine mental health care

World Psychiatry : Official Journal of the World Psychiatric Association (WPA)
Mike Slade

Abstract

Shared decision making (SDM) in mental health care involves clinicians and patients working together to make decisions. The key elements of SDM have been identified, decision support tools have been developed, and SDM has been recommended in mental health at policy level. Yet implementation remains limited. Two justifications are typically advanced in support of SDM. The clinical justification is that SDM leads to improved outcome, yet the available empirical evidence base is inconclusive. The ethical justification is that SDM is a right, but clinicians need to balance the biomedical ethical principles of autonomy and justice with beneficence and non-maleficence. It is argued that SDM is "polyvalent", a sociological concept which describes an idea commanding superficial but not deep agreement between disparate stakeholders. Implementing SDM in routine mental health services is as much a cultural as a technical problem. Three challenges are identified: creating widespread access to high-quality decision support tools; integrating SDM with other recovery-supporting interventions; and responding to cultural changes as patients develop the normal expectations of citizenship. Two approaches which may inform responses in the mental h...Continue Reading

Associated Clinical Trials

References

Nov 16, 2002·BMJ : British Medical Journal·Rosemarie McCabeStefan Priebe
May 20, 2003·Acta Psychiatrica Scandinavica·J HamannW Kissling
Apr 5, 2005·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Diane WildUNKNOWN ISPOR Task Force for Translation and Cultural Adaptation
Jul 30, 2005·Patient Education and Counseling·Gregory Makoul, Marla L Clayman
Dec 7, 2005·The American Journal of Psychiatry·Johannes HamannWerner Kissling
Mar 2, 2006·BMC Health Services Research·Ami SchattnerNavah Jellin
Sep 14, 2006·Acta Psychiatrica Scandinavica·J HamannW Kissling
Feb 28, 2007·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Deb Feldman-StewartTim Whelan
Aug 10, 2007·The Journal of Clinical Psychiatry·Johannes HamannWerner Kissling
Apr 17, 2008·The Journal of Nervous and Mental Disease·Johannes HamannWerner Kissling
Dec 19, 2008·Chronic Illness·David Pilgrim
May 26, 2009·Social Science & Medicine·Orit Karnieli-Miller, Zvi Eisikovits
May 27, 2009·Psychotherapy and Psychosomatics·E A G JoostenC P F van der Staak
Jul 2, 2009·The British Journal of Psychiatry : the Journal of Mental Science·Carina KnaupBernd Puschner
Feb 20, 2010·PLoS Medicine·David MoherDouglas G Altman
Jul 10, 2010·Psychiatric Rehabilitation Journal·Patricia E Deegan
Oct 27, 2010·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·Charlotte HanlonAtalay Alem
Jan 7, 2011·Psychiatric Services : a Journal of the American Psychiatric Association·Emily M WoltmannRobert E Drake
Mar 5, 2011·Substance Use & Misuse·Evelien A G JoostenCees P F van der Staak
Apr 9, 2011·Patient Education and Counseling·Betty ChewningGregory Makoul
May 31, 2011·Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen·Lilisbeth Perestelo-PerezPedro Serrano-Aguilar
May 31, 2011·Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen·Jacques CornuzTanja Krones
May 31, 2011·Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen·Isabelle SchollJörg Dirmaier
Oct 13, 2011·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·Maya SemrauGraham Thornicroft
Dec 2, 2011·The British Journal of Psychiatry : the Journal of Mental Science·Mary LeamyMike Slade
Dec 24, 2011·Psychiatric Services : a Journal of the American Psychiatric Association·Clair Le BoutillierMike Slade
Feb 2, 2012·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·Robert E Drake, Eric Latimer
Feb 2, 2012·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·Ahmed OkashaTarek Okasha
Jun 2, 2012·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·Larry DavidsonRebecca Miller
Jun 2, 2012·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·Peter McGeorge
Jul 28, 2012·International Journal of Geriatric Psychiatry·Stephanie DaleySube Banerjee
Oct 2, 2012·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·Hiroto ItoYuriko Suzuki
Oct 2, 2012·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·Denise RazzoukJair D E Jesus Mari

❮ Previous
Next ❯

Citations

Oct 31, 2017·Journal of Neural Transmission·Katarina ArandjelovicChad Bousman
May 23, 2018·The International Journal of Social Psychiatry·Mário César Rezende AndradeSérgio Baxter Andreoli
May 24, 2018·International Journal of Environmental Research and Public Health·Shulamit Ramon
Jun 29, 2018·The Australian and New Zealand Journal of Psychiatry·Renata KokanovićHelen Herrman
May 13, 2017·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·Stefan Priebe
May 13, 2017·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·Dan J Stein
May 13, 2017·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·Robert E Drake
Feb 13, 2018·Scandinavian Journal of Caring Sciences·Regitze Anne Saurbrey Pals, Nana Folmann Hempler
Nov 30, 2018·Epidemiology and Psychiatric Sciences·Andrea Fiorillo
Jan 3, 2019·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·Jim van OsPhilippe Delespaul
Feb 7, 2018·International Journal of Qualitative Studies on Health and Well-being·Ulla-Karin SchönPetra Svedberg
Jun 20, 2019·Journal of Psychiatric and Mental Health Nursing·Rocío Juliá-SanchisMaria José Cabañero-Martínez
Aug 3, 2019·Journal of Evaluation in Clinical Practice·Inés Morán-SánchezMaría Dolores Pérez-Cárceles
Jun 9, 2019·European Archives of Psychiatry and Clinical Neuroscience·M LucianoUNKNOWN CEDAR Study Group
Nov 6, 2018·European Archives of Psychiatry and Clinical Neuroscience·Marina EconomouYiannis Dimopoulos
Sep 10, 2019·Journal of Psychiatric and Mental Health Nursing·Isobel Voss
Jul 26, 2019·Journal of Psychiatric and Mental Health Nursing·Lise Saestad BeyeneKristine Rørtveit
Sep 11, 2019·Journal of Evaluation in Clinical Practice·Dilraj KalsiAshok Handa
Aug 25, 2019·Journal of Psychiatric and Mental Health Nursing·Chongmei HuangWendy Cross
Jan 31, 2020·Professional Case Management·Teresa M Treiger
Jan 25, 2020·Journal of Psychiatric and Mental Health Nursing·Chongmei HuangWendy Cross
Feb 27, 2020·International Journal of Mental Health Nursing·Michael OlasojiWendy Cross
Jul 15, 2020·Journal of Mental Health·Lauren BurnsAnn John
Sep 17, 2020·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Allison M GustavsonHildi J Hagedorn
Sep 17, 2020·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Jens C ThimmWenche Malmedal
May 13, 2017·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·Graham Meadows
Mar 14, 2019·Journal of Mental Health·Jone BjornestadMarius Veseth
Oct 30, 2019·Journal of Clinical Psychology in Medical Settings·Ashlee J Warnecke, Ellen Teng
Jun 17, 2020·Frontiers in Psychiatry·Barnaby NelsonPatrick D McGorry
May 13, 2017·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·Angela Coulter
May 13, 2017·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·Rose McCabe
Jan 11, 2019·Neuropsychiatrie : Klinik, Diagnostik, Therapie und Rehabilitation : Organ der Gesellschaft Österreichischer Nervenärzte und Psychiater·Christa StraßmayrHeinz Katschnig

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.