Shared decision making in mental health: the importance for current clinical practice
Abstract
Objectives: We reviewed the literature on shared decision making (regarding treatments in psychiatry), with a view to informing our understanding of the decision making process and the barriers that exist in clinical practice. Methods: Narrative review of published English-language articles. Results: After culling, 18 relevant articles were included. Themes identified included models of psychiatric care, benefits for patients, and barriers. There is a paucity of published studies specifically related to antipsychotic medications. Conclusions: Shared decision making is a central part of the recovery paradigm and is of increasing importance in mental health service delivery. The field needs to better understand the basis on which decisions are reached regarding psychiatric treatments. Discrete choice experiments might be useful to inform the development of tools to assist shared decision making in psychiatry.
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Considerable resources have been invested to make SDM a routine way of working: computerized programs, role-play techniques, training groups for mental health staff.
“In recent years, considerable resources have been invested to make the SDM a routine way of working: computerized programs, role-play techniques, training groups for mental health staff [58]”
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 [58]
Cites
Shared decision making: A model for clinical practice
Elwyn, G., Frosch, D., Thomson, R., Joseph-Williams, N., Lloyd, A., Kinnersley, P., Cording, E., Tomson, D., Dodd, C., Rollnick, S., et al. (2012) · Journal of General Internal Medicine · doi:10.1007/s11606-012-2077-6 · Cited by 4,405 · see citing works
Sample Size Requirements for Discrete-Choice Experiments in Healthcare: a Practical Guide
de Bekker-Grob, E. W., Donkers, B., Jonker, M. F., & Stolk, E. A. (2015) · Patient · doi:10.1007/s40271-015-0118-z · Cited by 943 · see citing works
Discrete Choice Experiments in Health Economics: A Review of the Literature
Clark, M. D., Determann, D., Petrou, S., Moro, D., & de Bekker-Grob, E. W. (2014) · PharmacoEconomics · doi:10.1007/s40273-014-0170-x · Cited by 867 · see citing works
Shared 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
Shared decision making for in‐patients with schizophrenia
Hamann, J., Langer, B., Winkler, V., Busch, R., Cohen, R., Leucht, S., & Kissling, W. (2006) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.2006.00798.x · Cited by 296 · see citing works
Shared Decision-Making Preferences of People With Severe Mental Illness
Adams, J. R., Drake, R. E., & Wolford, G. (2007) · Psychiatric Services · doi:10.1176/ps.2007.58.9.1219 · Cited by 198 · see citing works
Shared Decision-Making Preferences of People With Severe Mental Illness
Adams, J. R., Drake, R. E., & Wolford, G. L. (2007) · Psychiatric Services · doi:10.1176/appi.ps.58.9.1219 · Cited by 180 · see citing works
Stovell, D., Morrison, A. P., Panayiotou, M., & Hutton, P. (2016) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.114.158931 · Cited by 150 · see citing works
Does the scientific evidence support the recovery model?
Warner, R. (2010) · The Psychiatrist · doi:10.1192/pb.bp.109.025643 · Cited by 129 · see citing works
Adapting Shared Decision Making for Individuals With Severe Mental Illness
Hamann, J., & Heres, S. (2014) · Psychiatric Services · doi:10.1176/appi.ps.201400307 · Cited by 95 · see citing works
Waschbusch, D. A., Cunningham, C. E., Pelham, W. E., Rimas, H. L., Greiner, A. R., Gnagy, E. M., Waxmonsky, J. G., Fabiano, G. A., Robb, J. A., Burrows-MacLean, L. D., et al. (2011) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2011.581617 · Cited by 84 · see citing works
Hamann, J., Kohl, S., McCabe, R., Bühner, M., Mendel, R., Albus, M., & Bernd, J. C. (2015) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-015-1089-z · Cited by 70 · see citing works
Shepherd, A., Shorthouse, O., & Gask, L. L. (2014) · BMC Psychiatry · doi:10.1186/1471-244x-14-127 · Cited by 63 · see citing works
Women’s Preferences for Treatment of Perinatal Depression and Anxiety: A Discrete Choice Experiment
Ride, J., & Lancsar, E. (2016) · PLoS ONE · doi:10.1371/journal.pone.0156629 · Cited by 62 · see citing works
Self-citationTorrey, W. C., & Drake, R. E. (2009) · Community Mental Health Journal · doi:10.1007/s10597-009-9265-9 · Cited by 59 · see citing works
Delman, J., Clark, J. A., Eisen, S. V., & Parker, V. A. (2014) · The Journal of Behavioral Health Services & Research · doi:10.1007/s11414-014-9431-x · Cited by 56 · see citing works
Mühlbacher, A. C., Rudolph, I., Lincke, H.-J., & Nübling, M. (2009) · BMC Health Services Research · doi:10.1186/1472-6963-9-149 · Cited by 52 · see citing works
Patient participation in antipsychotic drug choice decisions
Hamann, J., Kruse, J., Schmitz, F. S., Kissling, W., & Pajonk, F. (2010) · Psychiatry Research · doi:10.1016/j.psychres.2008.08.008 · Cited by 34 · see citing works
Patients’ Preferences Related to Benefits, Risks, and Formulations of Schizophrenia Treatment
Levitan, B. S., Markowitz, M., Mohamed, A. F., Johnson, F. R., Alphs, L. D., Citrome, L., & Bridges, J. F. P. (2015) · Psychiatric Services · doi:10.1176/appi.ps.201400188 · Cited by 33 · see citing works
Katz, E. G., Hauber, B., Gopal, S., Fairchild, A., Pugh, A., Weinstein, R. B., & Levitan, B. S. (2016) · Patient Preference and Adherence · doi:10.2147/ppa.s114172 · Cited by 31 · see citing works
Bär Deucher, A., Hengartner, M., Kawohl, W., Konrad, J., Puschner, B., Clarke, E., Slade, M., Del Vecchio, V., Sampogna, G., Égerházi, A., et al. (2016) · European Psychiatry · doi:10.1016/j.eurpsy.2016.02.001 · Cited by 28 · see citing works
Ahmed, A. O., Marino, B., Rosenthal, E., Buckner, A., Hunter, K. M., Mabe, P. A., & Buckley, P. F. (2016) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2016.01.009 · Cited by 19 · see citing works
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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
The expanding role of somatostatin analogs in the management of neuroendocrine tumors.
Wolin, E. M. (2012) · Europe PMC (PubMed Central) · Cited by 81 · see citing works
Kane, J., Mcevoy, J., Correll, C., & Llorca, P. (2021) · CNS Drugs · doi:10.1007/s40263-021-00861-6 · Cited by 74 · see citing works
Antipsychotic treatment – a systematic literature review and meta-analysis of qualitative studies
Bjørnestad, J. R., Lavik, K. O., Davidson, L., Hjeltnes, A., Moltu, C., & Veseth, M. (2019) · Journal of Mental Health · doi:10.1080/09638237.2019.1581352 · Cited by 65 · see citing works
Synthesis of the Evidence on What Works for Whom in Telemental Health: Rapid Realist Review
Schlief, M., Saunders, K. R. K., Appleton, R., Barnett, P., Juan, N. V. S., Foye, U., Olive, R. R., Machin, K., Shah, P., Chipp, B., et al. (2022) · Interactive Journal of Medical Research · doi:10.2196/38239 · Cited by 66 · see citing works
Thomas, E. C., Ben‐David, S., Treichler, E. B. H., Roth, S. C., Dixon, L. B., Salzer, M. S., & Zisman‐Ilani, Y. (2021) · Psychiatric Services · doi:10.1176/appi.ps.202000429 · Cited by 48 · see citing works
Haugom, E. W., Stensrud, B., Beston, G., Ruud, T., & Landheim, A. S. (2022) · BMC Psychiatry · doi:10.1186/s12888-022-03849-8 · Cited by 40 · see citing works
Larsen, A., Tele, A., & Kumar, M. (2021) · BMC Health Services Research · doi:10.1186/s12913-021-06499-w · Cited by 47 · see citing works
Shifting Perspectives on the Challenges of Shared Decision Making in Mental Health Care
Verwijmeren, D., & Grootens, K. P. (2023) · Community Mental Health Journal · doi:10.1007/s10597-023-01170-6 · Cited by 35 · see citing works
Fisher, A. C., Mills, K. L., Teesson, M., & Marel, C. (2020) · Drug and Alcohol Review · doi:10.1111/dar.13149 · Cited by 35 · see citing works
Rodenburg‐Vandenbussche, S., Carlier, I. V. E., van Vliet, I. M., van Hemert, A. M., Stiggelbout, A. M., & Zitman, F. G. (2019) · Journal of Evaluation in Clinical Practice · doi:10.1111/jep.13285 · Cited by 28 · see citing works
The role of depression pharmacogenetic decision support tools in shared decision making
Arandjelovic, K., Eyre, H. A., Lenze, E. J., Singh, A., Berk, M., & Bousman, C. (2017) · Journal of Neural Transmission · doi:10.1007/s00702-017-1806-8 · Cited by 25 · see citing works
Howe, J., MacPhee, M., Duddy, C., Habib, H., Wong, G., Jacklin, S., Allen, K. M., Oduola, S., Upthegrove, R., Carlish, M., et al. (2023) · BMJ Quality & Safety · doi:10.1136/bmjqs-2023-016615 · Cited by 24 · see citing works
Fernandes, S., Fond, G. B., Zendjidjian, X. Y., Michel, P., Lançon, C., Berna, F. S., Schürhoff, F., Aouizerate, B., Henry, C., Étain, B., et al. (2021) · Journal of Market Access & Health Policy · doi:10.1080/20016689.2021.1885789 · Cited by 22 · see citing works
Metz, M. J., Elfeddali, I., Veerbeek, M., de Beurs, E., Beekman, A. T. F., & Feltz-Cornelis, C. M. V. D. (2018) · PLoS ONE · doi:10.1371/journal.pone.0199795 · Cited by 22 · see citing works
Zaini, S., Bharathy, H. A. M., Sulaiman, A. H., Gill, J. S., Hui, K. O., Huri, H. Z., Shamsudin, S. H., & Ng, C. G. (2018) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph15071402 · Cited by 19 · see citing works
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Jansingh, A., Danner, U. N., Hoek, H. W., & Elburg, A. A. V. (2020) · Current Opinion in Psychiatry · doi:10.1097/yco.0000000000000642 · Cited by 17 · see citing works
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Cuevas, C. D. L., Mundal, I. P., Betancort, M., & Lara‐Cabrera, M. L. (2020) · International Journal of Clinical and Health Psychology · doi:10.1016/j.ijchp.2020.06.004 · Cited by 15 · see citing works
Ashoorian, D. M., & Davidson, R. M. (2021) · International Journal of Clinical Pharmacy · doi:10.1007/s11096-021-01240-3 · Cited by 13 · see citing works
Wesseldijk-Elferink, I. J. M., Hendriks, A. W., & van den Heuvel, S. C. G. H. (2021) · Archives of Psychiatric Nursing · doi:10.1016/j.apnu.2021.07.007 · Cited by 13 · see citing works
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Bossen, J. K. J., van der Weijden, T., Driessen, E. W., & Heyligers, I. C. (2019) · Musculoskeletal Care · doi:10.1002/msc.1390 · Cited by 12 · see citing works
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Thomas, E. C., Simmons, M. B., Mathai, C. M., & Salzer, M. S. (2022) · Psychiatric Services · doi:10.1176/appi.ps.20220086 · Cited by 11 · see citing works
Shared Decision-Making and Information Needs among People with Generalized Anxiety Disorder
Ramos‐García, V., Rivero‐Santana, A., Duarte‐Díaz, A., Perestelo‐Pérez, L., Castro, W. P., Álvarez‐Pérez, Y., González‐González, A. I., & Serrano‐Aguilar, P. (2021) · European Journal of Investigation in Health Psychology and Education · doi:10.3390/ejihpe11020031 · Cited by 11 · see citing works
Mølgaard, S. N., Nielsen, M. Ø., Roed, K., & Nielsen, J. (2024) · BMC Psychiatry · doi:10.1186/s12888-024-05699-y · Cited by 10 · see citing works
Song, M., & Song, Y.-M. (2023) · Journal of Health Communication · doi:10.1080/10810730.2023.2268561 · Cited by 9 · see citing works
Suetani, S., Siskind, D. J., Phillipou, A., Waterreus, A. J., Morgan, V. A., & Castle, D. J. (2021) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/00048674211009602 · Cited by 9 · see citing works
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San, L., & Arranz, B. (2023) · European Neuropsychopharmacology · doi:10.1016/j.euroneuro.2023.02.007 · Cited by 9 · see citing works
Bui, T. N. T., Hotham, E. D., Loughhead, M., McMillan, S. S., Procter, N. G., Poole, K., & Suppiah, V. (2022) · Health & Social Care in the Community · doi:10.1111/hsc.14029 · Cited by 8 · see citing works
Villena, A., Morales‐Asencio, J. M., Quemada, C., & Hurtado, M. M. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20054614 · Cited by 7 · see citing works
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Beyene, L. S. (2020) · University of Stavanger eBooks · doi:10.31265/usps.53 · Cited by 7 · see citing works
Perestelo‐Pérez, L., Rivero‐Santana, A., Ramos‐García, V., Álvarez‐Pérez, Y., Duarte‐Díaz, A., Torres‐Castaño, A., Trujillo‐Martín, M. M., del Pino‐Sedeño, T., González‐González, A. I., & Serrano‐Aguilar, P. (2020) · BMJ Open · doi:10.1136/bmjopen-2020-039956 · Cited by 5 · see citing works
Matejkowski, J. C. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.773411 · Cited by 5 · see citing works
Ding, R., Shao, R., Zhang, L., & Yan, J. (2023) · Patient · doi:10.1007/s40271-023-00659-2 · Cited by 5 · see citing works
Song, J., Borlido, C., Luca, V. D., Burton, L., & Remington, G. J. (2019) · Psychiatry Research · doi:10.1016/j.psychres.2019.02.050 · Cited by 4 · see citing works
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Polhuis, D., & Grealish, A. (2022) · Springer eBooks · doi:10.1007/978-3-031-05536-2_5 · Cited by 3 · see citing works
Grey, H., & Lindsey, L. (2026) · International Journal of Clinical Pharmacy · doi:10.1007/s11096-026-02090-7 · Cited by 1 · see citing works
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VARGAS, P. D., HOLANDA, D. M. D., & Albuquerque, A. (2020) · Temas em Saúde · doi:10.29327/213319.20.2-14 · Cited by 1 · see citing works
Fan, J., Li, S., Yan, Q., Duan, Z., Wu, A. W., & Wang, R. (2024) · Clinical Cosmetic and Investigational Dermatology · doi:10.2147/ccid.s457802 · Cited by 1 · see citing works
Mohammadi, Z., Zarea, K., Jahani, S., Rassouli, M., Asadizaker, M., & Beiranvand, S. (2025) · Iranian Journal of Psychiatry and Behavioral Sciences · doi:10.5812/ijpbs-160577 · Cited by 1 · see citing works
Reis, J. (2021) · Journal of Patient Experience · doi:10.1177/23743735211007352 · Cited by 1 · see citing works
Liebman, E. E., & Peterson, K. A. (2024) · Issues in Mental Health Nursing · doi:10.1080/01612840.2024.2408575
Kronkvist, M. B., Jönsson, P. D., & Sandlund, M. (2025) · Journal of Psychosocial Rehabilitation and Mental Health · doi:10.1007/s40737-024-00446-8
Larsen, A., Tele, A., & Kumar, M. (2021) · Figshare · doi:10.6084/m9.figshare.14811040
Confue, J., Maidment, I. D., & Jones, M. D. (2026) · BMC Psychiatry · doi:10.1186/s12888-026-08104-y
Atzeni, M., Cossu, G., Tusconi, M., Kurotschka, P. K., Zreik, T., Nardi, A. E., Khurshudyan, M., Kalcev, G., Ciccu, S., Gureje, O., et al. (2026) · ALPHA PSYCHIATRY · doi:10.31083/ap46500
- Authors
- Alguera-Lara, V., Dowsey, M. M., Ride, J., Kinder, S., & Castle, D.
- Affiliations
- St Vincent's Hospital Melbourne (AU)
- Monash University (AU)
- The University of Melbourne (AU)
- Corresponding author
- Castle, David
- Venue
- Australasian Psychiatry
- Publisher
- SAGE Publications
- Published
- 2017-10-10
- Volume
- 25
- Issue
- 6
- Pages
- 578-582
- ISSN
- 1039-8562 (ISSN-L)
- 1440-1665
- OpenAlex
- W2760882939
- Cited by
- 51
- References
- 22
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 3 · 2023: 7 · 2022: 5 · 2021: 11 · 2020: 8 · 2019: 6 · 2018: 3 · 2017: 1 · 2012: 1
- FWCI
- 7.95
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Australasian Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
- Social Sciences › Psychology › Clinical Psychology › Healthcare Decision-Making and Restraints
- Keywords
- shared decision-making, barriers to shared decision-making, recovery-oriented care, antipsychotic drugs, discrete choice experiment, patient benefit
- MeSH terms
- Mental Disorders, Decision Making, Delivery of Health Care, Humans, Mental Health Services, Patient Participation
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