What Patients With Severe Mental Illness Transitioning From Hospital to Community Have to Say About Care and Shared Decision-Making.

Issues Ment Health Nurs

b MetroHealth Rehabilitation Institute of Ohio, Center for Health Research and Policy, CWRU School of Medicine, Department of Physical Medicine and Rehabilitation , Cleveland , Ohio , USA.

Published: June 2016

Shared decision-making (SDM) has been slow to disseminate in mental health. We conducted focus groups with ten individuals with serious mental illness (SMI) treated in a 90 day, outpatient transitional care clinic. Parallel groups were held with family caregivers (n = 8). Individuals with SMI wanted longer visits, to have their stories heard, more information about options presented simply, to hear from peers about similar experiences, and a bigger say in treatment choices. Caregivers wanted to be invited to participate to a larger extent.  Results suggest that after a decade, SDM may not have the expected penetration in community mental health.

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http://dx.doi.org/10.3109/01612840.2015.1132289DOI Listing

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