Shared Decision-Making Preferences of People With Severe Mental Illness

Abstract

Most clients with severe mental illnesses prefer shared decision making, particularly in relation to their mental health care.

Factors influencing patients’ preferences and perceived involvement in shared decision-making in mental health care

“…SDM involves collaborative partnership between patients and providers who are both considered experts and are expected to participate in deliberation about treatment decisions (Charles, Gafni, & Whelan, 1997). Studies in various clinical settings have found that patients prefer SDM (Adams, Drake, & Wolford, 2007;Betinger, Kissling, & Hamann, 2014;Goossensen, Ziilstra & Koopmanschap, 2007;Hamann, Cohen, Leucht, Busch, & Kissling, 2005;Hill & Laugharne, 2005;Matthias, Salyers, Rollins, & Frankel, 2012a).…”

“…While some studies have examined SDM in outpatient mental health settings (Adams, Drake, & Wolford, 2007;De Las Cuevas, Penate, Perestelo-Perez, & Serrano-Aguilar, 2013;Fukui et al, 2014), few have explored patients' appraisals of how treatment decisions are made in mental health. To better understand patientlevel factors that might influence participation in SDM we examined patients' perceptions of treatment decision-making with mental health providers.…”

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

“…Montori and colleagues 43 subsequently added to this conceptual definition of shared decision-making by stating (specific to decision making in health care) that a decision is only shared if there is an ongoing partnership and collaboration between the health care worker and patient. Adams and colleagues 44 emphasise the patient participation angle of shared decision-making, highlighting that patients should have accessible information, enabling them to participate in an active and meaningful way.…”