Shared Decision Making In Mental Health International Perspectives On Implementation

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 open access book offers essential information on values-based practice (VBP): the clinical skills involved, teamwork and person-centered care, links between values and evidence, and the importance of partnerships in shared decision-making. Different cultures have different values; for example, partnership in decision-making looks very different, from the highly individualized perspective of European and North American cultures to the collective and family-oriented perspectives common in South East Asia. In turn, African cultures offer yet another perspective, one that falls between these two extremes (called batho pele). The book will benefit everyone concerned with the practical challenges of delivering mental health services. Accordingly, all contributions are developed on the basis of case vignettes, and cover a range of situations in which values underlie tensions or uncertainties regarding how to proceed in clinical practice. Examples include the patient’s autonomy and best interest, the physician’s commitment to establishing high standards of clinical governance, clinical versus community best interest, institutional versus clinical interests, patients insisting on medically unsound but legal treatments etc. Thus far, VBP publications have mainly dealt with clinical scenarios involving individual values (of clinicians and patients). Our objective with this book is to develop a model of VBP that is culturally much broader in scope. As such, it offers a vital resource for mental health stakeholders in an increasingly inter-connected world. It also offers opportunities for cross-learning in values-based practice between cultures with very different clinical care traditions.

The SAGE Handbook on Decision Making, Assessment and Risk in Social Work provides a comprehensive overview of key strands of research and theoretical concepts in this increasingly important field. With 49 chapters and four section summaries, this Handbook describes the ‘state of the art’; discuss key debates and issues; and gives pointers on future directions for practice, research, teaching, management of services, and development of theoretical understandings. A key aim of this Handbook is to support the development of sound, applied knowledge and values to underpin reasoned professional judgement and decision making by social workers in practice and those in management and regulatory roles. With contributions from a global interdisciplinary body of leading and emerging scholars from a wide variety of roles, this handbook has been designed to be internationally generalisable and applicable to all major areas of social work. This Handbook provides a field-defining account of decision making, assessment and risk in social work which is unrivalled for its diversity and strength of coverage, and will be of value to social work researchers, teachers and practitioners, as well as to those in allied fields such as health care. Section 1: Professional Judgement Section 2: Assessment, Risk and Decision Processes Section 3: Assessment Tools and Approaches Section 4: Developing and Managing Practice Section 5: Concluding Section / Afterword

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

This book is concerned with the complexities of achieving quality in care transitions. The organization and accomplishment of high quality care transitions relies upon the coordination of multiple professionals, working within and across multiple care processes, settings and organizations, each with their own distinct ways of working, profile of resources, and modes of organizing. In short, care transitions might easily be regarded as complex activities that take place within complex systems, which can make accomplishing high quality care challenging. As a subject of enquiry, care transitions are approached from many research, improvement and policy perspectives: from group psychology and human factors to social and political theory; from applied process re-engineering projects to exploratory ethnographic studies; from large-scale policy innovations to local improvements initiatives. This collection will provide a unique cross-disciplinary and multi-level analysis, where each chapter presents a particular depth of insight and analysis, and together offer a holistic and detail understand of care transitions.