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Shared decision-making preferences of people with severe mental illness.

Author information

Affiliations

  • 1. Dartmouth Medical School, 400 Kellogg Bldg., Hanover, NH 03755, USA.
      Authors
    • Adams JR 1
    (1 author)

Psychiatric Services (Washington, D.C.), 01 Sep 2007, 58(9):1219-1221
https://doi.org/10.1176/ps.2007.58.9.1219 PMID: 17766569 

A comment on this article appears in "Commentary: psychiatric advance directives and recovery-oriented care." Psychiatr Serv. 2007 Sep;58(9):1164.

Abstract 

Objective

Perceived roles and preferences were explored for shared decision making among persons with severe mental illnesses.

Methods

In this pilot study, 30 adult clients with severe mental illness in a community mental health center were surveyed about decision making regarding psychiatric medications, rehabilitation, and general medical care.

Results

Clients generally expressed a desire for greater participation in decisions about psychiatric care than they currently experienced. Regarding use of new psychiatric medications, 23 persons (77%) preferred autonomous or shared roles, but only 11 (37%) rated their current roles as more than passive (z=-2.83, p=.005). Clients were less likely to prefer a passive role in medication decisions about psychiatric care than about general medical care (seven persons, or 23%, versus 23 persons, or 77%; z=-3.01, p=.003).

Conclusions

Most clients with severe mental illnesses prefer shared decision making, particularly in relation to their mental health care.

Full text links 

Read article at publisher's site: https://doi.org/10.1176/ps.2007.58.9.1219

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