Shared decision making: why patients preferences matter
Clinician's role is information provision shared decision making
Shared decision making: really putting patients at the centre of
4 févr. 2012 example of shared decision making—clinicians and patients make decisions together using the best available evidence. In partnership.
Shared Decision Making Fact Sheet - December 2013
For example patients can access decision aids and relevant patient education materials via a patient portal and communicate with their health care team about
Positive-risk-and-shared-decision-making.pdf
These might usefully be expressed as rights and linked to the existing legislation (for example under the. Social Services and Well-being (Wales) Act 2014
Orygen
For example they might be used to a model of health care where doctors and mental health clinicians are positioned as. 'experts' and expected to tell the young
Evidence Summary: Shared decision making (SDM) for mental health
preferences (along with evidence) to guide decisions where possible. Shared decision making (SDM) is the most prominent example of this.
A Blueprint for School-Based Planning & Shared Decision-Making
School-Based Planning and Shared Decision-Making: An Overview noted for example
BREE
20 nov. 2019 improved health outcomes and with better appropriateness of care.5
Making shared decision-making a reality The Kings Fund
10 juil. 2011 Applying shared decision-making in different clinical settings ... For example in Yorkshire and the Humber Strategic Health Authority
Shared Decision-Making Materials (Decision Aids and Examples)
Shared Decision-Making Materials (Decision Aids and Examples). Publicly available lung cancer screening decision aids. Online decision aids.
Shared Decision-Making - ONC Office of the National
Shared decision making is a key component of patient-centered health care It is a process in which clinicians and patients work together to make decisions and select tests treatments andcareplans based on clinical evidence that balances risks and expected outcomes with patient preferences and values
Tool 8 The SHARE Approach Putting Shared Decisionmaking
Essential Steps of Shared Decisionmaking Step 1: Seek your patient’s participationStep 2: Help your patient explore and compare treatment options Step 3: Assess your patient’s values and preferencesStep 4: Reach a decision with your patient Step 5: Evaluate your patient’s decision
MASTERING SHARED DECISION MAKING - EBSCO
heart of practicing medicine proficiently Shared decision making is about paying attention to the things that matter to patients It is the true expression of being kind and careful by showing respect to the views of patients EXAMPLES WHERE SHARED DECISION MAKING MIGHT MAKE A HUGE DIFFERENCE
Shared Decision Making - FHCQ
Shared decision making is a key component of patient-centered care defined by the Washington State Health Care Authority as “a process that allows patients and their providers to make health care decisions together taking into account the best scientific evidence available as well as the patient’s values and preferences ”
Searches related to shared decision making examples filetype:pdf
Shared Decision-Making in Mental Health Care: Practice Research and Future Directions Section 1 Overview of Shared Decision-Making SDM provides an approach through which providers and consumers of health care come together as collaborators in determining the course of care Research has shown
What is shared decisionmaking?
- Shared decisionmaking occurs when a health care provider and a patient work together to make a health care decision that is best for the patient. The optimal decision takes into account evidence-based information about available options, the provider’s knowledge and experience, and the patient’s values and preferences.
How can shared decision making be achieved in clinical encounters?
- Achieving shared decision making depends on building a good relationship in the clinical encounter so that information is shared and patients are supported to deliberate and express their preferences and views during the decision making process.
How does health plan leadership promote shared decision making?
- Innovation Profile: Health Plan Leadership Promotes Shared Decisionmaking Through Use of Decision Aids by Surgeons, Contributing To Lower Joint Replacement Rates and Overall Health Care Costs (Health Dialog Services Corporation). In: AHRQ Health Care Innovations Exchange [Web site].
What is the share approach?
- The SHARE Approach is a 1-day training program developed by the Agency for Healthcare Research and Quality (AHRQ) to help health care professionals work with patients to make the best possible health care decisions. It supports shared decisionmaking through the use of patient-centered outcomes research (PCOR). 2 ?? 2
Shared Decision-Making
in Mental Health Care Practice, Research, and Future DirectionsU.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Substance Abuse and Mental Health Services Administration www.samhsa.gov iShared Decision-Making in Mental Health Care:
Practice, Research, and Future Directions
ACKNOWLEDGMENTS
The report was written by Melissa Capers, AFYA, Inc. under contract number 208-02-0405 with the Substance Abuse and Mental Health Services Administration
(SAMHSA), U.S. Department of Health and Human Services (HHS). The supple- ments were written under the same contract. Carole Schauer and Paolo del Vecchio served as the Government Project Ofcers.DISCLAIMER
The views, opinions, and content of this publication are those of the authors and do not necessarily reect the views, opinions, or policies of SAMHSA or HHS.PUBLIC DOMAIN NOTICE
All material appearing in this report is in the public domain and may be reproduced or copied without permission from SAMHSA. Citation of the source is appreciated. However, this publication may not be reproduced or distributed for a fee without the specic, written authorization of the Ofce of Communications, SAMHSA, HHS.ELECTRONIC ACCESS AND COPIES OF PUBLICATION
This publication may be accessed electronically at www.samhsa.gov/shin . For addi- tional copies of this document, please call SAMHSA's Health Information Network at 1-877-SAMHSA-7 (1-877-726-4727). (English and Español).RECOMMENDED CITATION
Shared Decision-Making in Mental Health Care: Practice, Research, and Future Di- rections. HHS Publication No. SMA-09-4371. Rockville, MD: Center for Mental Health Services, Substance Abuse and Mental Health Services Administration, 2010.ORIGINATING OFFICE
Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, Ofce of the Associate Director for Consumer Affairs, 1 ChokeCherry Road, Rockville, MD 20857.
HHS Publication No. SMA-09-4371
Printed 2011
iiShared Decision-Making in Mental Health Care:
Practice, Research, and Future Directions
Contents
Introduction ....................................................................... Section 1. Overview of Shared Decision-Making (SDM)De?ning SDMConcepts, Components, and Goals ..............................................................3
Related Concepts
Values and SDM .......................................................................Advantages and Disadvantages of SDM ........................................................................
........6 Outcomes of SDM ........................................................................Section 2. The Practice of Shared Decision-Making ..................................................................9
Decision Aids........................................................................ SDM in General Health Care........................................................................ .........................11 SDM in Mental Health Care......................................................................... .........................12Training Providers and Consumers to Use SDM ...................................................................14
Section 3. SDM Research
SDM in General Health Care........................................................................ .........................16 SDM in Mental Health Care........................................................................... .......................16 Liability Concerns .......................................................................Section 4. Learnings from the SDM Meeting
.......19 Engaging Providers in SDM.......................................................................... .........................19 Engaging Consumers in SDM........................................................................ ........................20Issues of Competence and Coercion in Mental Health Care ................................................20
Complexities of Medication Use in Mental Health Care ......................................................21
Maintaining the Consumer's Voice........................................................................
...............22 The Role of Peer Specialists ....................................................................... ..........................23 Communication and SDM ....................................................................... ..............................23 Financial Considerations........................................................................ ...............................23 iiiShared Decision-Making in Mental Health Care:
Practice, Research, and Future Directions
Section 5. Future Directions and Recommendations ................................................................24
Accreditation ........................................................................... Legislation ....................................................................... Policy Recommendations........................................................................ ..............................25 Practice Recommendations ....................................................................... ...........................26 Training Recommendations ....................................................................... ............................28 Research Recommendations .......................................................................... .......................29Section 6. Conclusions
References
Appendix A. Resources
Appendix B. Shared Decision-Making Meeting Participants Supplement 1. Shared Decision-Making in Mental Health Care: Overview and Current Status ....................................................................... ...................43 Supplement 2. Shared Decision-Making in Mental Health Care: Overcoming Barriers to Changing Embedded Norms .................................................66 Supplement 3. Aids to Assist Shared Decision-Making in Mental Health Car e ..................91 1Shared Decision-Making in Mental Health Care:
Practice, Research, and Future Directions
Introduction
Shared decision-making (SDM) is a practice and concept with the potent ial to ad- vance wellness and recovery in mental health care. By making the consumer an in- dispensable partner in the process of recovery, SDM advances many of the goals of mental health care transformation, previously identied by the President's New Freedom Commission on Mental Health, the Institute of Medicine, and others. As A. Kathryn Power, Director of the Center for Mental Health Services (CMHS), Sub- stance Abuse and Mental Health Services Administration (SAMHSA), said: "SDM is an opportunity to make recovery real. By developing and promoting SDM in mental health care, we can advance consumer-centered care and recovery" (Power, 2007). In July 2007, a meeting of approximately 50 experts and stakeholders in SDM and mental health was convened in Washington, DC by CMHS. Participants included researchers and SDM providers in general and mental health care, policymakers, and mental health consumers. The meeting provided an opportunity for participants to exchange perspectives on SDM, inform one another of the state of the science and practice of SDM in general and mental health care, and develop recommendations for advancing SDM within the U.S. mental health care eld. Participants shared their experiences as consumers and providers of mental health care and offered insights and perspectives on a variety of aspects of SDM. This report is intended to provide a general overview of SDM and the available research on its effects in both general and mental health care. It includes recommen- dations from the participants of the SDM meeting. Participant perspectives are in- cluded throughout the report, as well as in a section specically devoted to learnings from the meeting. A resource list, to assist those seeking further information about the concept and practice of SDM, is included in Appendix A. This report also includes three manuscripts prepared as premeeting papers; these background materials were distributed to meeting participants in advance , and are included here to further the readers' understanding of the topic.Supplement
1, Shared Decision-Making in Mental Health Care: Overview and Current Stat
us, reviews SDM denitions, research, and practices in relation to mental health care and the recovery process. Supplement 2, Shared Decision-Making in Mental Health Care: Overcoming Barriers to Changing Embedded Norms, reviews the implementa- tion barriers to SDM and describes promising service delivery models and programs that may incrementally overcome impediments to routine use of SDM. Supplement3, Aids to Assist Shared Decision-Making in Mental Health Care, presents informa
tion on decision aids (DAs) that are available to mental health consumers and profes- sionals; the paper also lists resources for professionals and consumers. 2Shared Decision-Making in Mental Health Care:
Practice, Research, and Future Directions
Section 1
Overview of Shared Decision-Making
SDM provides an approach through which providers and consumers of health care come together as collaborators in determining the course of care. Research has shown that SDM, when practiced in general health care, increases consumers' knowledge about and comfort with the health care decisions they make. These alone are worthy goals - but the promise of SDM in mental health care is truly transform ative. By placing mental health consumers at the center of the decision-making process, SDM provides a model through which multiple calls for transformation of the men- tal health eld might be answered. (2003) calls for mental health care to be consumer and family driven. Health Care for Mental and Substance-Use Conditions, asserts that the indi- viduals receiving care should be at the center of that care at all times , and that mental health care should be respectful of and responsive to individual needs and preferences. In addition, the report called for "providing decision-making support to all M/SU [mental and/or substance-use] health care consumers" (p. 105).SA's National Consensus Statement on Mental Health Recovery (2006a) are self-direction; individualized care; person-centered care; and care that supports empowerment, individual responsibility, and recovery. Workforce includes as its rst goal "Signicantly expand the role of individuals in recovery. . . to participate in, ultimately direct, or accept responsibility for their own care" (Annapolis Coalition, 2007, p. 15). Driven Care, 2006c) support consumers and families in having the primary decision-making role regarding mental health and related care offered and re- ceived. Despite its promise, several barriers to widespread implementation of SDM in men- tal health care exist. Among these are some unfounded concerns about the capacity of persons with mental illnesses to make informed decisions, discomfort on the part of some mental health care providers at the shift in roles required by S
DM, unease
on the part of some mental health consumers regarding their ability to t ake the 3 Shared Decision-Making in Mental Health Care:Practice, Research, and Future Directions responsibilities offered through SDM, and lingering public fear and prejudice around mental illness and persons with mental illnesses.Dening SDM: Concepts, Components, and Goals
A precise de?nition of SDM has yet to be established. However, key characteristics have been identi?ed: health care provider and consumer. tions (Charles, Gafni, & Whelan, 1997; Schauer, Everett, del Vecchio, &Anderson, 2007).
Schauer et al. (2007, p. 56) further detailed the role of each partner in the informa- tion exchange: "The practitioner brings information related to the illness, treatment options, risks, bene?ts, and evidence base. The patient is considered an expert in his or her own values, treatment preferences, and treatment goals." According to Deegan (2007, p. 64), "SDM is founded on the premise that two experts are in the consulta- tion room. . . neither. . . should be silenced, and both must share information in order to arrive at the best treatment decisions possible." The objectives of SDM are improved communication, understanding, and decision-quotesdbs_dbs11.pdfusesText_17[PDF] sharenow
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