Training Institutes 2012 - National Technical Assistance Center for ...

WORKSHOPS
WORKSHOP #11 3:30 PM THURSDAY • 8:30 AM SATURDAY • GAINESVILLE 1-2
Partnerships Among Youth, Families, and Clinicians:
Shared Decision Making for Medication Management
OBJECTIVES—Participants will learn:
1. To describe the Shared Decision Making (SDM) model as it is applied to medication management
2. To identify the “experts” and the role each plays in decision-making
3. To define the “Ideal” prescriber and the “Ideal” youth/family collaboration in SDM
4. To describe the common tensions experienced in the process of medication management, and how SDM can
successfully resolve these
5. To identify the barriers to successful implementation of SDM
This Workshop will focus on an approach to prescribing and managing medications based on collaboration among
youth, families, and clinicians. Using medication is an active process that involves complex decision-making and a
chance to work through decisional conflicts that requires a partnership among experts—the youth, the family, and the
practitioner. Such a partnership improves communication and understanding about medication management.
The SDM model facilitates this by explicitly recognizing the youth and family experts on the youth, his/her current
functioning, and his/her unique response to medications (both effects and side effects) and similarly recognizing the
prescriber as the expert on the effects, side effects, and evidence base of the medications. Both sets of expertise are
essential to effective decision-making and conflict resolution. SDM encourages active involvement of the youth and
family in medication selection, administration, monitoring (honest reporting of effects and side effects), as well as
giving the youth developmentally appropriate responsibility for taking and keeping track of medications. SDM is based
on the system of care values of family-driven, youth-guided, culturally and linguistically competent, and individualized
care. When youth and families are meaningfully engaged in treatment, they have better outcomes and they share
accountability and responsibility for outcomes.
Specific topics to be covered include collaboration of the experts (youth, family, and psychiatrist) on the following steps
of SDM:
• Recognition that a decision needs to be made
• Identification of partners in the process as equals
• Statement of the options as equal
• Exploration of understanding and expectations
• Identifying preferences
• Negotiating options/concordance
• Sharing the decision
• Arranging follow-up to evaluate decision-making outcomes
Faculty will discuss and define the “ideal” prescriber and the “ideal” youth and family for successful implementation of
SDM, typical tensions that arise in the process of medication management and what to do when they develop in this
partnership, as well as other barriers to the successful implementation of SDM and how to address them.
The Workshop will mirror the SDM model, and the faculty will perform a role play of a shared decision making session
to get a true understanding of how each expert’s perspective contributes to shared decision making. The faculty includes
the perspective of a youth, parent, and child psychiatrist.
MODERATOR/PRESENTER: Steven Jewell, M.D., Medical Director, Child Guidance & Family Solutions, Akron, OH
Alexander Cook, Youth MOVE Ohio, Akron, OH
Marjorie Cook, Education and Training Coordinator, The Ohio Federation for Children’s Mental Health, Akron, OH
72 Training Institutes 2012