Integrating Decision Making and Mental Health Interventions Research: Research Directions.

Wills, Celia E.; Holmes‐Rovner, Margaret

doi:10.1111/j.1468-2850.2006.00002.x

Cited by 61 publications

(72 citation statements)

References 110 publications

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“…Sum scores up to 10 represent a sub-syndromal level of depression. Scores of 11 and more show a major depression with the categories mild (11)(12)(13)(14), moderate (15)(16)(17)(18)(19) and severe (20)(21)(22)(23)(24)(25)(26)(27). The German version of the PHQ has been developed …”

Section: Brief-phq Surveymentioning

confidence: 99%

“…While the concept of patient-centeredness has always played a role in mental health treatment, SDM involves a more active role for patients. 25 PatientsÕ experiences with depression and their attitudes towards depression treatment Studies on patientsÕ experiences with depression show that this condition is still associated with substantial social stigma. 26 If professional help is sought at all, many patients view their family doctor as the most appropriate person to contact.…”

mentioning

confidence: 99%

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Depressed patients’ perceptions of depression treatment decision‐making

Simón

Loh

Wills

et al. 2006

Health Expectations

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Objective Little is known about the feasibility and effects of patientclinician shared decision-making (SDM) for depression treatment. Within a goal of informing the design of a SDM intervention, the objective of this study was to investigate depressed patientsÕ perceptions of the treatment decision-making process with general practitioners (GPs).Setting and participants Data were gathered from a convenience sample of 40 depressed patients to understand key aspects of treatment decision-making from the patient perspective. The sample varied in depression severity and type of setting in which treatment was sought.Main variables studied Semi-structured interview questions focused on patientsÕ prior experiences with depression and treatment, perceptions of the treatment decision-making process, and needs and expectations about treatment. Current depression severity was also assessed.Results Patient lack of insight regarding depression severity substantially delayed patient engagement in treatment seeking and decision-making. Patients expected their GPs to be a first and main source of objective information and discussion about depression and treatment and to provide emotional support for decision-making. Patients also identified needs for additional information about depression and its treatment, as well as concerns about certain aspects of treatment.Conclusions The depression treatment context has some aspects that differ from treatment decision-making for other types of health conditions. SDM approaches for depression treatment should be adapted based on depression severity and patientidentified needs.

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Section: Brief-phq Surveymentioning

confidence: 99%

mentioning

confidence: 99%

Depressed patients’ perceptions of depression treatment decision‐making

Simón

Loh

Wills

et al. 2006

Health Expectations

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“…The latter results suggest that usual appointment times do not necessarily need to be changed (Loh et al, 2007). Consideration should also be given to the impact of shared decisions on health insurance coverage and the cost of services, particularly when clients choose alternative or noncovered treatment options (Wills & holmes-rovner, 2006). Finally, there are some situations where SDM may not be appropriate.…”

Section: Practical Design Considerationsmentioning

confidence: 99%

Critical Issues for Psychiatric Medication Shared Decision Making with Youth and Families

O’Brien

Crickard

Rapp

et al. 2011

Families in Society: The Journal of Contemporary Social Service

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the primary aims of this article are to describe the current context for youth shared decision making (sDm) within the U.s. children's mental health system and to identify important considerations for the development of this approach as a research and service domain. the notion is substantiated in the literature that participation in treatment decisions can prepare youth for making their own decisions as adults, can be therapeutic, and can have positive effects on their self-confidence and self-esteem. still, the complex youth-family-provider dynamic raises important issues that need to be addressed before sDm can be successfully implemented.imPliCations FoR PRaCtiCe •Developing a youth sDm model will involve practitioner training, training for youth and parents, defining roles for youth and parents, consent, confidentiality, service delivery factors, and identifying outcomes.

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“…Research has predominantly focused on shared decision-making. Shared decision-making has not been precisely defined in the literature, 25,26 although it has been extensively researched [27][28][29][30][31][32][33][34] (for review see 26,[34][35][36][37][38][39][40][41] ). In an attempt to clarify the concept of shared decision-making, Makoul and colleagues 42 posited that for a decision to be shared, it must involve at least two participants, have shared information and the decision must be made and agreed upon by all parties.…”

Section: Introductionmentioning

confidence: 99%

“…34,[45][46][47][48] Conversely, supported decision-making is broader, and can consist of organisations, networks, provisions or agreements with the aim of supporting and assisting an individual with a mental illness to make and communicate decisions. 6,23 In supported decision-making, the individual is always the primary decision maker, but it is acknowledged that autonomy can be communicated in a number of ways, thus provision of support in different forms and intervals can assist in the expression of autonomous decisions.…”

Section: Introductionmentioning

confidence: 99%

Supported Decision-Making for Persons with Mental Illness: A Review

Pathare

Shields

2012

Public Health Rev

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Persons with mental illness (PWMI) are often not afforded the same opportunity to make decisions on a par with others in society. Article 12 of the International Convention on the Rights of Persons with Disabilities (CRPD) states that persons with disabilities should have equal recognition before the law and the right to exercise their legal capacity. Exercising legal capacity can mean making decisions about employment, medical or psychosocial treatment, property, finances, family, and participation in community activities. The aim of this paper is to comprehensively review the evidence on supported decision making for PWMI, both in legislation and research globally, with a focus on low-and middle-income countries (LMICs). Results reveal only a few countries have provisions for supported decision-making for PWMI, with a particular shortage of such provisions in legislation in LMICs There is also a general paucity of research evidence for supported decision-making, with the majority of research focusing on shared decision-making for treatment decisions. This review highlights the need for additional research in this area to better guide models, which can be utilised in domestic legislation, particularly in LMICs, to better implement the ideals of Article 12 of the CRPD.

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Integrating Decision Making and Mental Health Interventions Research: Research Directions.

Cited by 61 publications

References 110 publications

Depressed patients’ perceptions of depression treatment decision‐making

Depressed patients’ perceptions of depression treatment decision‐making

Critical Issues for Psychiatric Medication Shared Decision Making with Youth and Families

Supported Decision-Making for Persons with Mental Illness: A Review

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