| Shared decision making in mental health treatment: qualitative findings from stakeholder focus groups. | |
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MedLine Citation:
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PMID: 22114804 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: This article reports on findings from seven stakeholder focus groups conducted in exploring shared decision making (SDM) between provider and consumer in mental health (MH) treatment in public MH. BASIC PROCEDURES: Seven focus groups were conducted with stakeholders-consumers, family members, prescribers, MH clinicians, and rural providers. Each of the focus groups was recorded digitally, transcribed into text, and analyzed qualitatively for recurring themes. MAIN FINDINGS: Provider barriers to SDM include history of the medical model, MH crises, lack of system support, and time. Consumer-related barriers included consumer competency, fears, insight, literacy, and trauma from past experiences. Information-exchange issues include consumer passivity, whether consumers could be viewed as experts, and importance of adequate history information. New skills needed to practice SDM included provider's knowledge about alternative treatments, mastery of person-first language, and listening skills; consumer's ability to articulate their expert information; and computer skills for both providers and consumers. Outcomes expected from practice of SDM include greater sharing of power between provider and consumer, greater follow-through with treatment plans, greater self-management on the part of consumers, and improved therapeutic alliances. PRINCIPAL CONCLUSIONS: Implementing SDM in public MH will impact consumers and their families, providers, prescribers, and administrators. More SDM trials in public MH are needed to answer some of the many questions that remain. |
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Authors:
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Irma H Mahone; Sarah Farrell; Ivora Hinton; Robert Johnson; David Moody; Karen Rifkin; Kenneth Moore; Marcia Becker; Missy Rand Barker; |
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Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't Date: 2011-06-11 |
Journal Detail:
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Title: Archives of psychiatric nursing Volume: 25 ISSN: 1532-8228 ISO Abbreviation: Arch Psychiatr Nurs Publication Date: 2011 Dec |
Date Detail:
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Created Date: 2011-11-25 Completed Date: 2012-04-13 Revised Date: 2013-02-19 |
Medline Journal Info:
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Nlm Unique ID: 8708534 Medline TA: Arch Psychiatr Nurs Country: United States |
Other Details:
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Languages: eng Pagination: e27-36 Citation Subset: IM; N |
Copyright Information:
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2011 Elsevier Inc. All rights reserved. |
Affiliation:
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UVA School of Nursing, Charlottesville, VA 22903-3388, USA. ih3xn@virginia.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Community-Based Participatory Research Consumer Participation Decision Making* Family Focus Groups Humans Insurance, Health Mental Disorders / therapy Mental Health Services* / organization & administration Psychiatric Nursing Psychiatry |
| Grant Support | |
ID/Acronym/Agency:
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P20 NR009009-04/NR/NINR NIH HHS; P20NR009009/NR/NINR NIH HHS |
| Comments/Corrections | |
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