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

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66Supplement 2Shared Decision-Makingin Mental Health Care:Overcoming Barriers to ChangingEmbedded NormsMargaret Holmes-Rovner, Ph.D.Professor, Center for Ethics & HumanitiesMichigan State University College of Human MedicineNeal Adams, M.D., M.P.H.Director, Special Projects for the California Institute for Mental HealthPeter C. AshendenExecutive DirectorMental Health Empowerment Project, Inc.Carole SchauerSenior Consumer Affairs SpecialistCenter for Mental Health ServicesPaolo del VecchioAssociate Director for Consumer AffairsCenter for Mental Health ServicesShared Decision-Making in Mental Health Care: Practice, Research, and Future Directions
67AbstractShared decision-making is increasingly being seen as a way to implement personcenteredcare in both general and mental health care. It proposes that people learnhow to be active participants in driving their own recovery, with the support of providersand others while working within the limitations and constraints of the deliverysystem. To date, this fundamental change in the historical relationships betweenproviders and mental heath consumers has been demonstrated in research studies toimprove knowledge and self-efficacy among consumers. Implementation in routinecare, however, remains challenging. This paper reviews the implementation barriersdocumented to date, and describes promising service delivery models and modelprograms that may incrementally overcome barriers to routine use.Shared Decision-Making in Mental Health Care: Practice, Research, and Future Directions
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iiContentsIntroduction ............
Page 11 and 12:
5outpatient commitment (Holmes-Rovn
Page 13 and 14:
7Advantages• Practitioners can be
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9Section 2The Practice of SharedDec
Page 22 and 23: 16Section 3SDM ResearchCurrent rese
Page 24: 18Mental health care providers are
Page 27 and 28: 21want mental health treatment or d
Page 29: 23Some participants raised concerns
Page 37 and 38: 31Section 6ConclusionsShared decisi
Page 39 and 40: 33Fellowes, D., Wilkinson, S., & Mo
Page 41 and 42: 35Power, A. Kathryn. (July 10, 2007
Page 43 and 44: 37Appendix AResourcesThis list is p
Page 45 and 46: 39Appendix BShared Decision-MakingM
Page 47 and 48: 41Annelle Primm, M.D., M.P.H.Direct
Page 49 and 50: 43Supplement 1Shared Decision-Makin
Page 51 and 52: 45IntroductionThe consumer-driven r
Page 53 and 54: 47Background: Definitions of SDM an
Page 55 and 56: 49• Freedom to live in the commun
Page 57 and 58: 51providers only (Wills & Homes-Rov
Page 59: 53SDM for Schizophrenia TreatmentBu
Page 63 and 64: 57I interact with my consumers; I f
Page 65 and 66: 59ReferencesAdams, J. R., & Drake,
Page 67 and 68: 61Elwyn, G., Edwards, A., Kinnersle
Page 69 and 70: 63Murray, E., Pollack, L., White, M
Page 71: 65Thistlethwaite, J., Evans, R., Ti
Page 75 and 76: 69Confronting Critical Challenges:
Page 77 and 78: 71into treatment should still be in
Page 79 and 80: 73these approaches, people are more
Page 81 and 82: 75consumers to engage with their pr
Page 83 and 84: 77that were produced in the U.S., w
Page 85 and 86: 79a healing partnership and develop
Page 87 and 88: 81Shared Decision-Making in Mental
Page 89 and 90: 83However, peer support requires st
Page 91 and 92: 85ConclusionsImplementation of SDM
Page 93 and 94: 87Fellowes, D., Wilkinson, S., & Mo
Page 95 and 96: 89President’s Commission for the
Page 97 and 98: 91Supplement 3Aids to Assist Shared
Page 99 and 100: 93IntroductionSignificance of Share
Page 101 and 102: 95In recent years, a variety of tec
Page 103 and 104: 97• Provide balanced information,
Page 105 and 106: 99Form of Access or AdministrationC
Page 107 and 108: 101ences). Some of these Web-based
Page 109 and 110: 103video about shared decision-maki
Page 111 and 112: 105clarify one’s own values and p
Page 113 and 114: 107potential results, than on quant
Page 115 and 116: 109Once again, however, it is worth
Page 117 and 118: 111who belong to minority groups or
Page 119 and 120: 113Hamann, J., Langer, B., Winkler,
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U.S. DEPARTMENT OF HEALTH AND HUMAN
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