['Shared Steps & Checks': A pragmatic model for shared decision making in mental health care]

Area of Science:

• Psychiatry
• Mental Health Care
• Shared Decision-Making (SDM)

Background:

• Shared decision-making (SDM) is standard in mental health care but limited in practice.
• Lack of practical guidelines hinders SDM implementation in psychiatric settings.

Purpose of the Study:

• Develop a pragmatic model for SDM in psychiatric practice.
• Create a model for training purposes in mental health services.

Main Methods:

• Literature review of existing SDM models.
• Analysis of psychiatry-specific elements and didactic aspects.
• Refinement through interdisciplinary focus groups (n=48).

Main Results:

• Developed a linear stepwise SDM model tailored for mental health care.
• Incorporated treatment goal formulation, decision teams, capacity assessment, and risk evaluation.
• Included explicit evaluation of patient-clinician collaboration.

Conclusions:

• Presents the
• Shared Steps & Checks
• model for pragmatic and didactic SDM in mental health.
• Addresses the complexity of SDM in psychiatric clinical practice.
• Suitable for educational purposes within mental health services.