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

View Presentation Slides

Pdf Summary

The document is part of a 2023 webinar from the American Psychiatric Association focused on "Two Decades of Shared Decision Making in Mental Health." It explores the history, principles, outcomes, and challenges of Shared Decision Making (SDM) in mental healthcare. The educational event offers continuing education credits for various healthcare professionals like physicians, psychologists, social workers, nurses, and pharmacists. <br /><br />SDM is emphasized as a crucial ethical practice promoting patient-centered care by integrating advanced medical science with compassion. It involves collaborative interactions between patients and healthcare providers, aiming to improve person-centered care by respecting patients' informed preferences. Historical factors like ethical principles from the Belmont Report, consumer rights movements, and the shift from acute to chronic care have significantly shaped SDM practices.<br /><br />Despite being underscored as an ethical imperative, practical implementation faces hurdles, including limited knowledge among providers, patients, and families, as well as stigma and privacy about mental capacity to make informed decisions. There are several tools and models like the Three-Talk Model and SDM measurement tools, such as SDM-Q-9, used to implement and assess SDM's efficacy.<br /><br />The webinar discusses the development of tools specifically for SDM in mental health contexts, such as the SERENE measure, aimed at capturing patients' experiences with mental health care. Implementation challenges are addressed, including the need for culturally adaptive interventions and the support of peer assistance to overcome stigma and cognitive barriers in SDM. The webinar concludes with a call for expanding SDM research to include more diverse mental health conditions and addressing practical barriers to successful SDM integration.

Keywords

Shared Decision Making

Mental Health

American Psychiatric Association

Patient-Centered Care

Ethical Practice

Belmont Report

Three-Talk Model

SDM-Q-9

SERENE Measure

Culturally Adaptive Interventions