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[Shared Decision-Making for Patients with Mental Disorders or Cognitive Impairments]
Christin Hempeler1, Jakov Gather1,2, Julia Haberstroh3
1Institut für Medizinische Ethik und Geschichte der Medizin, Ruhr-Universität Bochum, Deutschland.
Therapeutische Umschau. Revue Therapeutique
|September 27, 2022
Summary
Shared Decision-Making (SDM) enhances mental healthcare by integrating patient experience with professional expertise. This approach empowers patients and strengthens therapeutic relationships, despite challenges like impaired decision-making capacity.
Area of Science:
- Mental Health
- Healthcare Decision-Making
- Patient Empowerment
Background:
- Shared Decision-Making (SDM) is a collaborative model combining health professional expertise and patient experience.
- SDM is increasingly vital in treating individuals with mental disorders or cognitive impairments.
- Specific challenges include impaired decision-making capacity and the potential need for coercion.
Purpose of the Study:
- To provide an overview of opportunities and experiences with SDM in mental healthcare.
- To identify approaches for promoting SDM implementation for patients with mental disorders or cognitive impairments.
Main Methods:
- Literature review and synthesis of existing research on SDM in mental health.
- Analysis of challenges and opportunities specific to this patient population.
- Identification of strategies for successful SDM implementation.
Main Results:
- SDM offers significant opportunities in mental healthcare, leveraging patient experiential knowledge.
- Empowerment and therapeutic relationships, crucial in mental health, can be strengthened by SDM.
- Despite challenges, SDM can be effectively implemented with tailored approaches.
Conclusions:
- SDM is a valuable tool in mental healthcare, enhancing patient involvement and therapeutic alliances.
- Addressing challenges related to decision-making capacity is key to successful SDM implementation.
- Further strategies are needed to promote widespread adoption of SDM in mental health settings.
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