Community Ment Health J. 2010 Oct;46(5):433-40. Epub 2009 Nov 8.

Practicing shared decision making in the outpatient psychiatric care of adults with severe mental illnesses: redesigning care for the future.

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Dartmouth Medical School, Hanover, NH, USA. William.C.Torrey@Dartmouth.EDU

Abstract

Psychiatrist outpatient office visits have the potential to support the recovery of adults with severe mental illnesses by engaging them in a collaborative process of evaluating, selecting, and trying individually-tailored therapeutic options. Evidence-informed shared decision making is difficult for psychiatrists to offer within the framework of care as it is delivered today: it requires time, easy access to relevant scientific information, and extensive communication between patients and psychiatrists. In this paper, we describe the current structural obstacles to collaborative psychiatric care and envision a redesigned office visit process that facilitates active informed patient involvement.

PMID:: 19898985; [PubMed - indexed for MEDLINE]

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Practicing shared decision making in the outpatient psychiatric care of adults with severe mental illnesses: redesigning care for the future.

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