Shared Decision Making: Activation of Patient/Provider Teams-View Presentation Slides

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This April 19, 2019 webinar by the American Psychiatric Association focuses on Shared Decision Making (SDM) and its critical role in activating patient-provider teams within mental health care. SDM is a collaborative process where clinicians and patients jointly make healthcare decisions by discussing options, benefits, risks, and considering the patient's values and preferences. It complements Evidence Based Medicine (EBM) by ensuring decisions are person-centered, avoiding “evidence tyranny.”<br /><br />Key points include:<br />- The integration of SDM in clinical practice requires trust and effective communication between clinicians and patients.<br />- A three-step clinical model for SDM involves introducing choices, discussing options, and engaging in decision talk leading to a mutually agreed course of action.<br />- SDM enhances patient knowledge, engagement, confidence, and promotes conservative and informed treatment choices supported by over 86 randomized trials.<br />- Motivational Interviewing (MI) is presented as a complementary technique, especially useful when patients feel ambivalent, by fostering internally motivated, informed decisions.<br />- Barriers to successful SDM include the inherent power imbalance between clinician and patient, influenced by age, education, ethnicity, diagnosis, and timing of treatment initiation.<br />- Overcoming these barriers requires open dialogue, treating patients as equals, and embedding decision aids such as brochures and digital tools into practice.<br />- SDM promotes self-management and better outcomes for people with serious psychiatric disorders by increasing their involvement and empowerment, facilitating ongoing recovery.<br />- Conversely, lack of SDM leads to poor decision quality, less empowerment, misunderstandings, and weakened trust.<br /><br />The webinar encourages clinicians to adopt SDM as a vital practice for person-centered mental health care, supported by a growing evidence base. Additional resources include decision aids and tools available at lessismoremedicine.com and support via the SMI Adviser platform. Continuous education credits are offered to participants, with upcoming webinars addressing related topics like clozapine underutilization.

Keywords

Shared Decision Making

SDM

Mental Health Care

Patient-Provider Collaboration

Evidence Based Medicine

Motivational Interviewing

Clinical Decision Model

Patient Empowerment

Decision Aids

Psychiatric Disorders