Shared Decision Making In Mental Health Care Practice Research And Future Directions

This report is intended to provide a general overview of SDM and the available research on its effects in both general and mental health care. It includes recommendations from the participants of the SDM meeting. Participant perspectives are included throughout the report, as well as in a section specifically devoted to learnings from the meeting. A resource list, to assist those seeking further information about the concept and practice of SDM, is included in Appendix A.

This handbook provides a guide for individualized, responsive, and meaningful care to patients with severe mental illness. It begins with an overview of the foundational aspects of recovery – definitions and assessment, recovery principles, recovery research, and applications of recovery principles in in inpatient psychiatry. Subsequent chapters offer in-depth analyses of provider competencies, the patient’s role in personal choices and decision making, and the deeper healing goals of recovery. The handbook also offers detailed treatment modalities, including cognitive remediation, psychological and psychiatric services, nursing and occupational therapy services, peer support, and pharmacological treatment. Featured topics include: Sexuality and sexual health in the inpatient psychiatric setting. The power of stigma and the usage of SAMHSA (Substance Abuse and Mental Health Services Administration) principles to combat stigma. Legal advocacy. Self-advocacy and empowerment. Methods to enhance resilience and sustain recovery in inpatients. Common errors and solutions during the transformation to recovery-oriented systems. The Handbook of Recovery in Inpatient Psychiatry is a must-have resource for researchers, graduate students, clinicians, and related professionals/practitioners in psychology, psychiatry, social work, nursing, rehabilitation therapy, occupational therapy, physical therapy, and allied professionals in related mental health and medical disciplines.

An evidence-based analysis of the opportunities and challenges of moving towards more person-centred health systems.

This volume studies joint decision making in mental health care contexts through an in-depth examination of the negotiations of power and authority at the level of turn-by-turn sequential unfolding of interaction. Bringing together research at the intersection of mental health, discourse and conversation analysis it examines a wide range of settings including chronic psychiatric visits, rehabilitation meetings, occupational therapy encounters and cognitive behavioral therapy appointments. It presents a series of studies which reveal in close detail the joint decision-making processes in these critical encounters by using naturally occurring video-recorded interactions from a range of health service settings as data. In so doing, it sheds light on the interactional practices of health care workers that may facilitate or discourage client participation in joint decision-making processes. The book will provide important insights for academics and practitioners working in the fields of psychology, psychotherapy, applied linguistics, nursing, social work and rehabilitation; and in particular for those specializing in psychiatry and mental health.

Over the past decade health care systems around the world have placed increasing importance on the relationship between patient choice and clinical decision-making. In the years since the publication of the second edition of Shared Decision Making in Health Care, there have been significant new developments in the field, most notably in the US where 'Obamacare' puts shared decision making (SDM) at the centre of the 2009 Affordable Care Act. This new edition explores shared decision making by examining, from practical and theoretical perspectives, what should comprise an effective decision-making process. It also looks at the benefits and potential difficulties that arise when patients and clinicians share health care decisions. Written by leading experts from around the world and utilizing high quality evidence, the book provides an up-to-date reference with real-word context to the topics discussed, and in-depth coverage of the practicalities of implementing and teaching SDM. The breadth of information in Shared Decision Making in Health Care makes it an essential resource for policy-makers and health care workers. As health care systems adapt to increasingly collaborative patient-clinician care frameworks, this will also prove a useful guide to SDM for clinicians of all disciplines.

This textbook explores issues central to the provision of recovery-orientated care based on ethical principles and human rights perspectives. Written by academics and nurse practitioners, this comprehensive text draws together theory, research and practice to map the landscape of Advanced Practice in Mental Health Nursing (APMHN) in Europe. Underpinned by a rights- and relational- based approach to care, the textbook is organized around six themes: theoretical and historical perspectives; foundations for collaborative working; therapeutic engagement in different contexts; beyond the clinical dimension of the APMHN role; advancing the evidence-based practice agenda and emerging issues and challenges. Each theme consists of a number of chapters that are designed to address different aspects of APMHN. With a focus on illuminating the collaborating aspect of their role and advancing nurses’ competencies, debates and guidance are provided in areas such as therapeutic alliance, assessment, care-planning, mental health promotion, family work, trauma, diversity and culture, spirituality, risk and uncertainty, and prescribing. In addition to addressing the leadership, education and advocacy role, specific chapters explore the APMHN role in linking evidence to practice, in the participatory generation of evidence and maintaining professional competence. With a focus on future challenges and opportunities the textbook concludes with discussion on issues, such as eMental Health and future challenges and possibilities facing APMHNs, including challenges in informing policy, democratizing services, working across service and disciplinary boundaries, collaboratively shaping the evidence agenda, as well sustaining their role into the future. Within the book theoretical debate is grounded in case studies and/or examples from across Europe. This textbook is especially relevant to Mental Health Nurses undertaking studies at the Advanced Practice level. It is also suited to all Mental Health Nurses studying at post-graduate level who wish to advance their practice irrespective of the country. Educators, researchers and policy-makers involved in the area of Mental Health and Advanced Nursing Practice along with people with lived experiences will find the text of relevance.