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Two Decades of Shared Decision Making in Mental He ...
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This document is a summary of a presentation on shared decision making (SDM) in mental health. The presentation discusses the achievements, challenges, and opportunities of SDM in psychiatry. SDM is a collaborative approach to treatment decision-making that involves the patient and clinician working together to make informed decisions. The presentation highlights the ethical imperative of SDM and its role in person-centered care.<br /><br />The presentation explains that SDM is the pinnacle of patient-centered care, as it integrates advanced medical science with compassion and caring. It emphasizes the importance of respecting patients' right to know and making their informed preferences the basis for professional actions.<br /><br />The document also discusses the challenges and opportunities of implementing SDM in mental health. It highlights the limited knowledge and understanding of SDM among providers, people with lived experience, and family members. The unique characteristics of mental illness, such as symptoms and capacity issues, are identified as additional barriers to SDM. Stigma and legal concerns also impact the initiation of SDM in mental health.<br /><br />The presentation provides an overview of the milestones and research around SDM in mental health, including the development of various measures, interventions, and tools. It explains how SDM has been shown to improve treatment outcomes, increase trust and treatment literacy, and enhance patient satisfaction. The document also emphasizes the need for standardized training in SDM and the importance of peer support in promoting SDM.<br /><br />While there are challenges to implementing SDM in mental health, such as lack of conceptual frameworks and standardized training, the presentation concludes with the opportunities and potential for growth in the field. It highlights the expansion of SDM to other populations and settings, the importance of addressing stigma and beliefs about cognitive difficulties, and the integration of peer support in SDM.<br /><br />Overall, the presentation underscores the value of SDM in mental health and its potential to improve patient outcomes and enhance person-centered care.
Keywords
shared decision making
mental health
achievements
challenges
opportunities
collaborative approach
treatment decision-making
ethical imperative
person-centered care
advanced medical science
Funding for SMI Adviser was made possible by Grant No. SM080818 from SAMHSA of the U.S. Department of Health and Human Services (HHS). The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement by, SAMHSA/HHS or the U.S. Government.
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