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Shared decision-making preferences of people with severe mental illness
Jared R Adams1, Robert E Drake, George L Wolford
1Dartmouth Medical School, 400 Kellogg Bldg., Hanover, NH 03755, USA. jared.adams@dartmouth.edu
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.
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