Two Decades of Shared Decision Making in Mental Health: Achievements, Challenges, and Path Forward-View Presentation

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In the webinar "Two Decades of Shared Decision Making in Mental Health: Achievements, Challenges, and the Path Forward," Dr. Yara Zisman-Illani, an assistant professor at Temple University, discusses the evolution, application, and impact of shared decision-making (SDM) in mental health care. Hosted by Dr. Amy Cohen, the session highlights SDM’s role as an ethical imperative aimed at involving patients more effectively in their treatment decisions.<br /><br />Dr. Zisman-Illani outlines the historical context of SDM, emphasizing its divergence from paternalistic medical practices to more patient-centered approaches over the decades. She identifies six principles of successful SDM, including acknowledging power asymmetries and recognizing patients as experts of their own experiences. In mental health, SDM faces unique challenges like stigma and misconceptions about people with psychiatric conditions, yet it remains largely under-implemented compared to other medical fields.<br /><br />Numerous SDM tools and interventions, mainly decision aids, have been developed to aid shared decision-making in mental health settings. These tools are shown to enhance patient-provider communication, build trust, and improve overall care outcomes.<br /><br />The presentation also covers the importance of training and tools tailored to specific mental health conditions, including schizophrenia and depression, as well as the need for family involvement in some contexts. Dr. Zisman-Illani advocates for expanding SDM's application not only by developing appropriate measurement tools but also by integrating peer support and addressing systemic barriers.<br /><br />Overall, the webinar underscores that while SDM has made strides in mental health over the past two decades, there remains significant room for growth and implementation, with considerable opportunities for enhancing patient care through collaborative decision-making.

Keywords

shared decision-making

mental health

patient-centered care

SDM tools

patient-provider communication

psychiatric conditions

peer support

systemic barriers

family involvement

ethical imperative