Shared Decision-Making in Mental Health Care - SAMHSA Store ...
Shared Decision-Making in Mental Health Care - SAMHSA Store ...
Shared Decision-Making in Mental Health Care - SAMHSA Store ...
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67Abstract<strong>Shared</strong> decision-mak<strong>in</strong>g is <strong>in</strong>creas<strong>in</strong>gly be<strong>in</strong>g seen as a way to implement personcenteredcare <strong>in</strong> both general and mental health care. It proposes that people learnhow to be active participants <strong>in</strong> driv<strong>in</strong>g their own recovery, with the support of providersand others while work<strong>in</strong>g with<strong>in</strong> the limitations and constra<strong>in</strong>ts of the deliverysystem. To date, this fundamental change <strong>in</strong> the historical relationships betweenproviders and mental heath consumers has been demonstrated <strong>in</strong> research studies toimprove knowledge and self-efficacy among consumers. Implementation <strong>in</strong> rout<strong>in</strong>ecare, however, rema<strong>in</strong>s challeng<strong>in</strong>g. This paper reviews the implementation barriersdocumented to date, and describes promis<strong>in</strong>g service delivery models and modelprograms that may <strong>in</strong>crementally overcome barriers to rout<strong>in</strong>e use.<strong>Shared</strong> <strong>Decision</strong>-<strong>Mak<strong>in</strong>g</strong> <strong>in</strong> <strong>Mental</strong> <strong>Health</strong> <strong>Care</strong>: Practice, Research, and Future Directions