Promoting the value and practice of shared decision-making in mental health care.

Active consumer participation is critical in contemporary mental health care and treatment planning and has been a staple of the field of psychiatric rehabilitation for the last three decades. Providing the opportunity for consumers to chose interventions that fit personal preferences and recovery increase the likelihood that these interventions will enhance personal meaning, satisfaction and quality of life (Improving the Quality of Health Care for Mental and Substance Use Conditions, 2006). Similarly, self-determination and shared decision-making are critical components of recovery. As stated in the President's New Freedom Commission on Mental Health Final Report, recovery from mental illnesses should be the expectation in mental health care with services and treatments that are consumer and family-driven. Mental health care should be planned and delivered to ensure that consumers and families with children with mental health problems receive real and meaningful choices about treatment options and providers. The purpose of this paper is to explore the value and use of shared decision-making in health and mental health care, briefly examine the advantages and disadvantages of shared decision making and propose next steps in advancing use of shared decision-making in mental health care.

[1]  H. Lamb.  Treating the long-term mentally ill , 1983 .

[2]  E. Guadagnoli,et al.  Patient participation in decision-making. , 1998, Social science & medicine.

[3]  W. Anthony.  The principles of psychiatric rehabilitation , 1980 .

[4]  E. Rutgers,et al.  Interpretive Review : Feasibility and Effects of Decision Aids , 2000, Medical decision making : an international journal of the Society for Medical Decision Making.

[5]  Robert E. Drake,et al.  Shared Decision-Making and Evidence-Based Practice , 2006, Community Mental Health Journal.

[6]  A. Tversky,et al.  Prospect Theory : An Analysis of Decision under Risk Author ( s ) : , 2007 .

[7]  J. Benbassat,et al.  Patients' preferences for participation in clinical decision making: a review of published surveys. , 1998, Behavioral medicine.

[8]  S. Jansen,et al.  Stability of Patients’ Preferences for Chemotherapy , 2001, Medical decision making : an international journal of the Society for Medical Decision Making.

[9]  Samuel Grob.  Psychosocial Rehabilitation Centers: Old Wine in a New Bottle , 1983 .

[10]  E. Rossman,et al.  Psychiatric rehabilitation and long-term rehospitalization rates: the findings of two research studies. , 1978, Schizophrenia bulletin.

[11]  S. Leucht,et al.  Shared decision making for in‐patients with schizophrenia , 2006, Acta psychiatrica Scandinavica.

[12]  W. Katon,et al.  Behavioural factors associated with symptom outcomes in a primary care-based depression prevention intervention trial , 2003, Psychological Medicine.

[13]  S. Leucht,et al.  Shared decision making in psychiatry , 2003, Acta psychiatrica Scandinavica.

[14]  G. Nelson,et al.  Shifting the Paradigm in Community Mental Health: Toward Empowerment and Community , 2001 .

[15]  R. Sugden,et al.  Regret Theory: An alternative theory of rational choice under uncertainty Review of Economic Studies , 1982 .

[16]  A. O'Connor,et al.  Using patient decision aids to promote evidence-based decision making , 2001, ACP journal club.

[17]  P. Deegan.  The lived experience of using psychiatric medication in the recovery process and a shared decision-making program to support it. , 2007, Psychiatric rehabilitation journal.

[18]  A. Bandak,et al.  Nurse, physician, and consumer role responsibility perceived by health care providers. , 1999, Holistic nursing practice.

[19]  M. Stewart.  Effective physician-patient communication and health outcomes: a review. , 1995, CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne.

[20]  France Légaré,et al.  Risk communication in practice: the contribution of decision aids , 2003, BMJ : British Medical Journal.

[21]  C. Charles,et al.  Lay participation in health care decision making: a conceptual framework. , 1993, Journal of health politics, policy and law.

[22]  R. Cnaan,et al.  Psychosocial rehabilitation: Toward a definition. , 1988 .

[23]  M. Holmes-Rovner,et al.  Integrating Decision Making and Mental Health Interventions Research: Research Directions. , 2006, Clinical psychology : a publication of the Division of Clinical Psychology of the American Psychological Association.

[24]  H. Pfaff,et al.  Shared decision making: ein Überblicksartikel über die internationale Forschungsliteratur , 2003, Sozial- und Präventivmedizin.

[25]  T. Beauchamp,et al.  Principles of biomedical ethics , 1991 .

[26]  B. Jones,et al.  Characteristics of clients with schizophrenia who express certainty or uncertainty about continuing treatment with depot neuroleptic medication. , 1997, Archives of psychiatric nursing.

[27]  C. Charles,et al.  Shared decision-making in the medical encounter: what does it mean? (or it takes at least two to tango). , 1997, Social science & medicine.

[28]  W. Anthony.  Psychological rehabilitation. A concept in need of a method. , 1977, The American psychologist.

[29]  P. Appelbaum,et al.  Impact of Decisional Capacity on the Use of Leverage to Encourage Treatment Adherence , 2006, Community Mental Health Journal.