Shared Decision-Making in Mental Health Care - SAMHSA Store ...

iiContentsIntroduction ........................................................................................................................................ 1Section 1. Overview of Shared Decision-Making (SDM)...........................................................2Defining SDM—Concepts, Components, and Goals ..............................................................3.Related Concepts ....................................................................................................................3.Values and SDM ......................................................................................................................6Advantages and Disadvantages of SDM.................................................................................6Outcomes of SDM....................................................................................................................8Section 2. The Practice of Shared Decision-Making ..................................................................9Decision Aids...........................................................................................................................9SDM in General Health Care.................................................................................................11SDM in Mental Health Care..................................................................................................12Training Providers and Consumers to Use SDM ...................................................................14Section 3. SDM Research ...............................................................................................................16SDM in General Health Care.................................................................................................16SDM in Mental Health Care..................................................................................................16Liability Concerns ..................................................................................................................17Section 4. Learnings from the SDM Meeting ..............................................................................19Engaging Providers in SDM...................................................................................................19Engaging Consumers in SDM................................................................................................20Issues of Competence and Coercion in Mental Health Care ................................................20Complexities of Medication Use in Mental Health Care ......................................................21Maintaining the Consumer’s Voice .......................................................................................22The Role of Peer Specialists .................................................................................................23.Communication and SDM .....................................................................................................23.Financial Considerations.......................................................................................................23.Shared Decision-Making in Mental Health Care: Practice, Research, and Future Directions