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Shared Decision Making: Activation of Patient/Prov ...
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Video Summary
In this SMI Advisor webinar, Patrick Hendry discusses shared decision-making (SDM) in mental health care, emphasizing collaboration between clinicians and patients to improve treatment outcomes. SDM integrates evidence-based medicine with individual patient values and preferences, fostering a trusting, equal partnership. Hendry outlines a three-step SDM process: informing patients about choices, mutual education, and exploring options to reach informed, mutually agreed-upon decisions. This empowers patients with serious mental illness who often feel they lack control, enhancing treatment adherence and long-term wellbeing.<br /><br />The webinar highlights barriers to SDM, such as power imbalances, and the role of decision-making tools and peer support in facilitating engagement. Hendry also contrasts SDM with motivational interviewing, noting that MI helps patients progress toward readiness to make meaningful choices, which then enables SDM. He underscores adaptability in applying SDM, especially during acute psychiatric crises, advocating for meeting patients where they are and utilizing advance directives when insight is limited.<br /><br />Family, peers, and multi-disciplinary teams can support SDM participation. Research shows SDM increases patient knowledge, confidence, and involvement in care, leading to better outcomes. Hendry encourages clinicians to embrace SDM to promote patient empowerment, self-management, and recovery in behavioral health settings. Additional resources on SDM are available on smiadvisor.org.
Keywords
shared decision-making
mental health care
patient empowerment
evidence-based medicine
treatment adherence
motivational interviewing
psychiatric crisis
advance directives
peer support
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