Best Practices: A Program to Support Shared Decision Making in an Outpatient Psychiatric Medication Clinic
Abstract
This column presents preliminary findings of an intervention to support shared decision making in psychopharmacology consultation. The waiting area in an urban psychiatric medication clinic was transformed into a peer-run Decision Support Center featuring a user-friendly, Internet-based software program with which clients could create a one-page computer-generated report for use in the medication consultation. The Decision Support Center was used 662 times by 189 unique users from a young-adult and general adult case management team from October 2006 to September 2007. All clients had severe mental disorders. Only ten clients refused to use the intervention at some point during the pilot study. Focus groups with medical staff (N=4), clients (N=16), case managers (N=14), and peer-specialist staff (N=3) reported that the intervention helped to create efficiencies in the consultation and empower clients to become more involved in treatment-related decision making. A randomized controlled trial is currently in process.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Patient recovery can be fostered by adopting a SDM style, enhancing empowerment and self-efficacy of patients.
“Patient recovery can be fostered by adopting a SDM style, enhancing empowerment and self-efficacy of patients [52–55]”
From The role of shared decision-making in improving adherence to pharmacological treatments in patients with schizophrenia: A clinical review (2020) · cites this paper as [53]
Cites
Risk communication in practice: the contribution of decision aids
O'Connor, A. M. C., Légaré, F., & Stacey, D. (2003) · BMJ · doi:10.1136/bmj.327.7417.736 · Cited by 383 · see citing works
Shared Decision Making and Medication Management in the Recovery Process
Deegan, P. E., & Drake, R. E. (2006) · Psychiatric Services · doi:10.1176/ps.2006.57.11.1636 · Cited by 350 · see citing works
Self-citationShared Decision-Making and Evidence-Based Practice
Adams, J. R., & Drake, R. E. (2006) · Community Mental Health Journal · doi:10.1007/s10597-005-9005-8 · Cited by 302 · see citing works
An Evidence-Based Approach to Managing Women's Decisional Conflict
O'Connor, A. M. C., Jacobsen, M. J., & Stacey, D. (2002) · Journal of Obstetric, Gynecologic & Neonatal Nursing · doi:10.1111/j.1552-6909.2002.tb00083.x · Cited by 222 · see citing works
Deegan, P. E. (2007) · Psychiatric Rehabilitation Journal · doi:10.2975/31.1.2007.62.69 · Cited by 195 · see citing works
Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
Treatment engagement of individuals experiencing mental illness: review and update
Dixon, L. B., Holoshitz, Y., & Nossel, I. (2016) · World Psychiatry · doi:10.1002/wps.20306 · Cited by 550 · see citing works
E-Mental Health: A Rapid Review of the Literature
Lal, S., & Adair, C. E. (2014) · Psychiatric Services · doi:10.1176/appi.ps.201300009 · Cited by 417 · see citing works
O’Cathain, A., Thomas, K. J., Drabble, S. J., Rudolph, A., Goode, J., & Hewison, J. (2014) · Health Technology Assessment · doi:10.3310/hta18380 · Cited by 159 · see citing works
Aref-Adib, G., McCloud, T., Ross, J., O'Hanlon, P., Appleton, V., Rowe, S., Murray, E., Johnson, S., & Lobban, F. (2019) · The Lancet Psychiatry · doi:10.1016/s2215-0366(18)30302-x · Cited by 118 · see citing works
Shared decision making for psychiatric medication management: beyond the micro‐social
Morant, N., Kaminskiy, E., & Ramon, S. (2016) · Health Expectations · doi:10.1111/hex.12392 · Cited by 129 · see citing works
Fiorillo, A., Barlati, S., Bellomo, A., Corrivetti, G., Nicolò, G., Sampogna, G., Stanga, V., Veltro, F., Maina, G., & Vita, A. (2020) · Annals of General Psychiatry · doi:10.1186/s12991-020-00293-4 · Cited by 110 · see citing works
Smith, T. E., Easter, A., Pollock, M., Pope, L. G., & Wisdom, J. P. (2013) · Psychiatric Services · doi:10.1176/appi.ps.201200394 · Cited by 82 · see citing works
Hamann, J., Parchmann, A., Sassenberg, N., Bronner, K., Albus, M., Richter, A., Hoppstock, S., & Kissling, W. (2017) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-016-1327-z · Cited by 42 · see citing works
Finnerty, M. T., Layman, D. M., Chen, Q., Leckman-Westin, E., Bermeo, N., Ng-Mak, D. S., Rajagopalan, K., & Hoagwood, K. E. (2018) · Psychiatric Services · doi:10.1176/appi.ps.201800130 · Cited by 28 · see citing works
Consumer Outcomes After Implementing CommonGround as an Approach to Shared Decision Making
Salyers, M. P., Fukui, S., Bonfils, K. A., Firmin, R. L., Luther, L., Goscha, R., Rapp, C. A., & Holter, M. C. (2017) · Psychiatric Services · doi:10.1176/appi.ps.201500468 · Cited by 26 · see citing works
Self-citationRamon, S., Morant, N., Stead, U., & Perry, B. (2017) · International Journal of Social Psychiatry · doi:10.1177/0020764017733764 · Cited by 25 · see citing works
- Authors
- Deegan, P. E., Rapp, C., Holter, M., & Riefer, M.
- ORCID
- Deegan, Patricia E.
- Venue
- Psychiatric Services
- Published
- 2008-06
- Volume
- 59
- Issue
- 6
- Pages
- 603-605
- ISSN
- 0022-1597 (ISSN-L)
- 1075-2730
- 1557-9700
- OpenAlex
- W2118327088
- Cited by
- 173
- References
- 5
- Citations by year
- 2025: 3 · 2024: 3 · 2023: 4 · 2022: 5 · 2021: 7 · 2020: 4 · 2019: 10 · 2018: 7 · 2017: 15 · 2016: 18 · 2015: 8 · 2014: 14 · 2013: 20 · 2012: 15
- FWCI
- 25.75
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatric Services (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- shared decision-making, severe mental illness, client empowerment, outpatient psychiatric care, case management
- MeSH terms
- Ambulatory Care Facilities, Mental Disorders, Decision Making, Humans, Patient Participation, Pilot Projects, Psychopharmacology, Software, User-Computer Interface, Focus Groups
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
