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[Shared decision-making using outcome information: qualitative research among patients].

M J Metz, M M van Bueren, M van Dijk

    Tijdschrift Voor Psychiatrie
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    Summary

    Shared decision-making (SDM) using routine outcome monitoring (ROM) is crucial in mental health care. Patient needs and effective implementation strategies were explored, highlighting the importance of clinician training and patient support.

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    Area of Science:

    • Mental Health Care
    • Shared Decision-Making (SDM)
    • Routine Outcome Monitoring (ROM)

    Context:

    • Eight mental health organizations developed and implemented SDM using ROM between 2019-2022.
    • Qualitative study involving 101 patients across the Netherlands.

    Purpose:

    • To understand patient needs and experiences with SDM using ROM.
    • To identify necessary implementation approaches for SDM in mental health care.

    Summary:

    • Patients find SDM important, valuing both generic aspects (listening, trust, information) and customization (tailoring to needs, role clarity).
    • Routine outcome monitoring is valued as an information source in SDM, provided questionnaires are concise, relevant, and results are discussed.
    • Shared decision-making using ROM is not yet widespread in mental health care, necessitating ongoing support and evaluation.

    Impact:

    • Implementation requires continuous stimulation, evaluation, clinician retraining, and patient support through relatives, peer experts, and psycho-education.
    • Patients find ROM helpful in SDM, especially when they have access to their own data.