Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Email this article to a Colleague Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to My Articles & Searches Download to citation manager Citing Articles via HighWire Citing Articles via Google Scholar Articles by Deegan, P. E. Articles by Riefer, M. Search for Related Content PubMed Citation Articles by Deegan, P. E. Articles by Riefer, M. Outpatient Services Education, Patient and Family Computers, Telecommunications Related Article

Best Practices: A Program to Support Shared Decision Making in an Outpatient Psychiatric Medication Clinic

This column presents preliminary findings of an intervention to support shared decision making in psychopharmacology consultation. The waiting area in an urban psychiatric medication clinic was transformed into a peer-run Decision Support Center featuring a user-friendly, Internet-based software program with which clients could create a one-page computer-generated report for use in the medication consultation. The Decision Support Center was used 662 times by 189 unique users from a young-adult and general adult case management team from October 2006 to September 2007. All clients had severe mental disorders. Only ten clients refused to use the intervention at some point during the pilot study. Focus groups with medical staff (N=4), clients (N=16), case managers (N=14), and peer-specialist staff (N=3) reported that the intervention helped to create efficiencies in the consultation and empower clients to become more involved in treatment-related decision making. A randomized controlled trial is currently in process.

Related Article:

June 2008: This Month's Highlights
Psychiatr Serv 2008 59: 599. [Full Text] [PDF]

This article has been cited by other articles:

				R. E. Drake and P. E. Deegan Shared Decision Making: Whose Decision? Reply Psychiatr Serv, November 1, 2009; 60(11): 1555 - 1556. [Full Text] [PDF]

				J. Hamann, R. Mendel, R. Cohen, S. Heres, M. Ziegler, M. Buhner, and W. Kissling Psychiatrists' Use of Shared Decision Making in the Treatment of Schizophrenia: Patient Characteristics and Decision Topics Psychiatr Serv, August 1, 2009; 60(8): 1107 - 1112. [Abstract] [Full Text] [PDF]

				P. B. Howard, P. El-Mallakh, A. L. Miller, M. K. Rayens, G. R. Bond, K. Henderson, and A. T. Cooley Prescriber Fidelity to a Medication Management Evidence-Based Practice in the Treatment of Schizophrenia Psychiatr Serv, July 1, 2009; 60(7): 929 - 935. [Abstract] [Full Text] [PDF]

				J. Kreyenbuhl, I. R. Nossel, and L. B. Dixon Disengagement From Mental Health Treatment Among Individuals With Schizophrenia and Strategies for Facilitating Connections to Care: A Review of the Literature Schizophr Bull, July 1, 2009; 35(4): 696 - 703. [Abstract] [Full Text] [PDF]

				R. E. Drake, G. R. Bond, and S. M. Essock Implementing Evidence-Based Practices for People With Schizophrenia Schizophr Bull, July 1, 2009; 35(4): 704 - 713. [Abstract] [Full Text] [PDF]

				R. E. Drake, S. M. Wilkniss, R. L. Frounfelker, R. Whitley, A. M. Zipple, G. J. McHugo, and G. R. Bond Public-Academic Partnerships: The Thresholds-Dartmouth Partnership and Research on Shared Decision Making Psychiatr Serv, February 1, 2009; 60(2): 142 - 144. [Abstract] [Full Text] [PDF]

Get information about faster international access.

Privacy Policy

Copyright © 2008 American Psychiatric Association. All rights reserved.

Home | Search | Current Issue | Past Issues | Subscribe | All APPI Journals | Help | Contact Us