Seattle University Collaborative Projects - International Academy of ...

Implementing SDM as Part of the First Phase of Care Planning within theIsraeli Psychiatric Rehabilitation ServicesYaara Zisman-Ilani, The University of Haifa (yaaraz@windowslive.com)In recent years, there has been growing awareness and emphasis on patient involvement inmedical treatment decisions, commonly referred to as shared decision making (i.e., SDM)(Charles, Gafni, & Whelan, 1997, 1999). To date, SDM in healthcare has primarily been studiedamong patients with physical illnesses. Recently, research on SDM in mental health has alsobegun (Duncan, Best, & Hagen, 2010), mainly among people with schizophrenia (Hamann et al.,2006) and depression (Loh et al., 2007; Loh, Leonhart, Wills, Simon, & Harter, 2007). AlthoughSDM can be seen as a basic principle of many effective psychiatric rehabilitation practices(Curtis, 2008), to date, research has focused exclusively on medication use (Duncan et al., 2010).The potential importance of adapting the principles of SDM to recovery-based practices inmental health and to the field of psychiatric rehabilitation (such as employment and housing) hasbeen recently emphasized (Deegan & Drake, 2006; Deegan, 2007; Drake, Deegan, & Rapp,2010) but not yet implemented. In this session, I will present the development and theimplementation of a new SDM intervention aimed at improving the assessment phase of therehabilitation process of people with serious mental illness (SMI) in Israel.80. Innovations in Mental Health CareShort Term Risk Assessment in Acute Psychiatric Wards: Reflections on a FiveYear Research and Practice Development Project in the NetherlandsRoland van de Sande, Hogeschool Utrecht (roland.vandesande@hu.nl)E. Hellendoorn, Bavo-Europoort Mental Health Trust, Rotterdam, NetherlandsA.E. Wierdsma, Erasmus University of RotterdamE.O. Noorthoorn, Radboud University NijmegenH. Nijman, Hogeschool UtrechtC. van der Staak, Hogeschool UtrechtC.L. Mulder, Erasmus University of RotterdamShort term risk assessment by psychiatric trained staff appears to be strongly driven by tacitknowledge. In the Netherlands approximately 30% of all aggressive incidents in acute wardsresult directly in a seclusion intervention. A set of validated instruments is integrated in a CrisisMonitoring Model. In a cluster of randomized clinical trials the following hypothesis wasreviewed: structural and frequent applications of risk sensitive observation instruments enablethe staff to improve their risk management arsenal in order to reduce severe aggressive incidents194