Perspectives of Patients and Providers in Using Shared Decision Making in Psychiatry

Natalie J. Maples, Dawn I. Velligan, Eric C. Jones, Erin M. Espinosa, Robert O. Morgan, Melissa A. Valerio-Shewmaker

Research output: Contribution to journalArticlepeer-review

Abstract

There is increased interest over the last decade in the use of Shared Decision Making with individuals with serious mental illness to improve engagement in treatment and clinical outcomes. We conducted semi-structured qualitative interviews with 15 individuals with serious mental illness treated in an outpatient transitional care clinic serving people immediately after discharge from a psychiatric hospitalization. Parallel interviews were conducted with a variety of clinical providers (n = 9). Using latent thematic analysis, six themes were identified including: (1) Differences in the Use of SDM, (2) Consideration of Past Experiences, (3) Decisional Power Preferences, (4) Use of SDM in Psychiatry Versus Other Areas of Medicine, (5) Dignity and Disengagement, and (6) External Forces Impacting SDM. Implications for clinical practice and research using a shared decision-making approach within this treatment setting are further discussed.

Original languageEnglish (US)
JournalCommunity Mental Health Journal
DOIs
StateAccepted/In press - 2021

Keywords

  • Mental health
  • Serious mental illness
  • Severe mental illness
  • Shared decision making
  • Transitional care clinic

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

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