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The nature of SDM in mental health

The nature of SDM in mental health. Emma Kaminskiy PhD Student Faculty of Health and Social Care. Today I will…. Give brief overview of model of shared decision making Explore critical considerations for SDM in mental health

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The nature of SDM in mental health

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  1. The nature of SDM in mental health Emma Kaminskiy PhD Student Faculty of Health and Social Care

  2. Today I will…. Give brief overview of model of shared decision making Explore critical considerations for SDM in mental health Explore obstacles and facilitators of SDM in mental health, focusing on two research studies.

  3. Background research into medication management Medication management viewed in terms of compliance and clinical effectiveness. Medication management and its role in recovery and concordance Policy emphasis on shared decision making (SDM) and collaborative working (NICE, 2009, NPC, 2008). However, limited research has explored value and practice of SDM in mental health. Some research exploring views and experiences of service users, (Deegan, Drake, Read et al.) but less research exploring views and experience of wider stakeholder groups

  4. Healthcare models of decision making 4 parts of shared decision making (Charles & Gafni 1997)

  5. Critical considerations • Does consensus need to be achieved? • Few recommendations for how to go about achieving it • Represent ‘ideal ethical practice’ – does this translate into practice? • Ignores dynamic and complex nature of the process • May not be applicable to all situations • Judgement of competence (or insight) esp. relevant to medication management in psychiatry. • Considerations of risk? • Power imbalances?

  6. Examples of studies : Seale et al 2006 (see printed articles) Themes from qualitative interviews with Psychiatrists, exploring SDM in Psychiatric medication management. Seale et al 2006

  7. Example studies – Tees et al 2007 Summary of the aspects of the encounter between SU and nurse which enhance partnership. Tees et al 2007.

  8. Questions?

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