Empowering mental health service users to become more involved in decisions about their care: the DECIDE RCT


Laurence Palfreyman highlights an RCT of the DECIDE intervention, which aims to build awareness of the service user’s role in decisions about their care including how they can become more involved and seek information from independent sources.

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Shared decision making in antipsychotic prescribing: the perspective of psychiatrists


Shared decision making is now commonplace, but will this approach ever be fully embraced in relation to antipsychotic prescribing? Liz Hughes reports on a recent qualitative study of consultant psychiatrists’ experiences that sheds some light on the issue.

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Is there ‘parity of esteem’ in shared decision making between physical and mental health?


Current health and social care policies determine that people who use services should have choice and control over their care and support. This is particularly important for people with mental health problems who are managing their mental health and designing support in preventative ways to avoid crisis. One way for mental health service practitioners to [read the full story…]

“House of care” model can improve outcomes for long term conditions says new report


A new report from the Kings Fund, Delivering better services for people with long-term conditions:  building the house of care, shares learning from the “house of care” model which was developed through the Year of Care programme and discussed in a recent workshop and series of interviews.  The “house of care” metaphor is used to [read the full story…]

Shared decision making with parents of children with autism associated with higher satisfaction

few outcome studies found, but personalisation is relatively recent in social work practice

Shared decision making with family carers is clearly espoused in policy in the UK and elsewhere. The researchers in this U.S. study were interested to look at to what extent parents of children with autism spectrum disorder reported being engaged in such shared decision making. They set out to look at the association between shared [read the full story…]

How to speak to your psychiatrist: are we ready for shared decision making in mental health?


There’s a lot of talk about ‘shared decision making’ in the NHS right now. Many mental health patients say that they do not feel that they are properly listened to or that their expertise is not valued in the consultation, but it’s clear that many health professionals are quite evangelical about working in partnership with [read the full story…]

Shared decision-making and medicines: closing the gap between policy and practice


Shared decision-making is all the rage right now, so it’s great to see this new report written by Professor Alan Cribb from the Centre for Public Policy Research at King’s College London. There has been broad acceptance for many years that patient-centred care and shared decision-making between patients and healthcare professionals is a good idea, [read the full story…]

King’s Fund publish report on shared decision-making


Shared decision-making is a process in which clinicians and patients work together to select tests, treatments, management or support packages, based on clinical evidence and the patient’s informed preferences. It involves the provision of evidence-based information about options, outcomes and uncertainties, together with decision support counselling and a system for recording and implementing patients’ informed [read the full story…]