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Shared decision-making for psychiatric medication: A mixed-methods evaluation of a UK training programme for service users and clinicians

Author

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  • Shulamit Ramon
  • Nicola Morant
  • Ute Stead
  • Ben Perry

Abstract

Background: Shared decision making (SDM) is recognised as a promising strategy to enhance good collaboration between clinicians and service users, yet it is not practised regularly in mental health. Aims: Develop and evaluate a novel training programme to enhance SDM in psychiatric medication management for service users, psychiatrists and care co-ordinators. Methods: The training programme design was informed by existing literature and local stakeholders consultations. Parallel group-based training programmes on SDM process were delivered to community mental health service users and providers. Evaluation consisted of quantitative measures at baseline and 12-month follow-up, post-programme participant feedback and qualitative interviews. Results: Training was provided to 47 service users, 35 care-coordinators and 12 psychiatrists. Participant feedback was generally positive. Statistically significant changes in service users’ decisional conflict and perceptions of practitioners’ interactional style in promoting SDM occurred at the follow-up. Qualitative data suggested positive impacts on service users’ and care co-ordinators confidence to explore medication experience, and group-based training was valued. Conclusions: The programme was generally acceptable to service users and practitioners. This indicates the value of conducting a larger study and exploring application for non-medical decisions.

Suggested Citation

  • Shulamit Ramon & Nicola Morant & Ute Stead & Ben Perry, 2017. "Shared decision-making for psychiatric medication: A mixed-methods evaluation of a UK training programme for service users and clinicians," International Journal of Social Psychiatry, , vol. 63(8), pages 763-772, December.
    • Handle: RePEc:sae:socpsy:v:63:y:2017:i:8:p:763-772
    DOI: 10.1177/0020764017733764
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    References listed on IDEAS

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    1. Charles, Cathy & Gafni, Amiram & Whelan, Tim, 1999. "Decision-making in the physician-patient encounter: revisiting the shared treatment decision-making model," Social Science & Medicine, Elsevier, vol. 49(5), pages 651-661, September.
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