Shared decision-making in mental and behavioural health interventions

Area of Science:

• Clinical Psychology
• Mental Health Research
• Healthcare Practice

Background:

• Shared decision-making (SDM) elements like collaboration and patient preferences are well-studied in clinical psychology.
• Despite evidence, SDM is infrequently implemented in clinical practice, with a prevalent paternalistic approach.
• This highlights a gap between research findings and real-world application in mental healthcare.

Purpose of the Study:

• To conduct a narrative review of research supporting shared decision-making for mental and behavioral health.
• To identify and discuss barriers hindering the adoption of SDM in clinical practice.
• To provide actionable recommendations for enhancing SDM in patient interactions.

Main Methods:

• A narrative review methodology was employed.
• Existing literature on shared decision-making in mental and behavioral health was synthesized.
• Barriers to implementation and strategies for improvement were analyzed.

Main Results:

• Shared decision-making is supported by existing research for mental and behavioral health concerns.
• Several significant barriers impede the routine use of SDM in clinical settings.
• Recommendations are proposed to facilitate greater adoption of SDM.

Conclusions:

• Shared decision-making offers significant benefits for mental and behavioral health but faces implementation challenges.
• Overcoming barriers is crucial for integrating SDM into routine clinical practice.
• Implementing the provided recommendations can improve patient-centered care through enhanced SDM.