Preferences of Older and Younger Adults With Serious Mental Illness for Involvement in Decision-Making in Medical and Psychiatric Settings

Effects of Clinical Decision Topic on Patients’ Involvement in and Satisfaction With Decisions and Their Subsequent Implementation

“…Research on socio-demographic factors has found that older patients reported a stronger desire for involvement in decision-making compared with younger adults (18). In contrast, our results revealed no differences regarding socio-demographic variables concerning decision topic or patient involvement.…”

“…Some studies have shown that the majority of patients prefer shared involvement with a psychiatrist only for medical decisions and more active involvement for 6 psychosocial interventions (18). Psychiatrists on the other hand preferred to share social decisions with their patients rather than medical ones (19).…”

Aspectos conceptuales sobre el proceso de decisión compartida en salud mental

“…La mayor parte de los pacientes psiquiátricos desean participar en la toma de decisiones sanitarias, especialmente sobre la medicación y hospitalización (75)(76)(77)(78)(79)(80) …”

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

“…39,[69][70][71] In addition, participants in a number of studies declared that they had a clear desire for greater participation in decision regarding their psychiatric care compared to the current care they were receiving. 39,65,67,70 To illustrate, in one study, 82 percent of participants preferred a collaborative relationship with their health care provider, however only 70 percent experienced this collaboration. 65 Interestingly, participants articulated a clear idea of how and when to prioritise autonomy in decision-making and when to consult or defer the decision to health care professionals.…”

“…44 Preferences for decision-making also vary when it comes to who patients prefer to make health care decisions for them. Participants in one study 70 wished for collaborative decision-making with health care professionals for medication decisions, autonomous decision-making for psychosocial treatment and a passive role in decision-making with their general health care providers. Similarly, Stacey and colleagues found that 52 percent of individuals with depression preferred to make treatment decisions alone, 38 percent collaboratively with the health practitioner, and eight percent wanted the practitioner to make the decision.…”