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Shared and Supported Decision Making in Medication in a Mental Health Setting: How Far Have We Come?

Personalised care involves shared decision making (SDM) across all levels including choice in medication. However, there are a number of barriers which prevent its effective implementation in routine mental health settings. Therefore, we undertook a study to benchmark current practice across clinica...

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Autores principales: Pappa, Sofia, Barnett, Joshua, Gomme, Sally, Iliopoulou, Anthi, Moore, Ivan, Whitaker, Michael, McGrath, Jane, Sie, Michele
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8531065/
https://www.ncbi.nlm.nih.gov/pubmed/33544295
http://dx.doi.org/10.1007/s10597-021-00780-2
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author Pappa, Sofia
Barnett, Joshua
Gomme, Sally
Iliopoulou, Anthi
Moore, Ivan
Whitaker, Michael
McGrath, Jane
Sie, Michele
author_facet Pappa, Sofia
Barnett, Joshua
Gomme, Sally
Iliopoulou, Anthi
Moore, Ivan
Whitaker, Michael
McGrath, Jane
Sie, Michele
author_sort Pappa, Sofia
collection PubMed
description Personalised care involves shared decision making (SDM) across all levels including choice in medication. However, there are a number of barriers which prevent its effective implementation in routine mental health settings. Therefore, we undertook a study to benchmark current practice across clinical services of a large urban mental health provider. The study formed part of the trust-wide ‘Supported Decision Making in Medication’ Co-Production Project and aims to inform future recommendations in delivering against contemporary best practice, guidance and policy. A survey exploring the views and experiences of service users and prescribers on shared and supported decision-making in medication was carried out in West London NHS Trust. Questionnaires were fully co-designed and co-delivered by a group of health professionals and individuals with lived experience. There were 100 responses from service users and 35 from prescribers. There was some good practice where both parties reported good quality conversations concerning dialogic styles, collaborative process, information provided and range of choice offered. However, prescriber’s perception of their practice was not always mirrored by service user feedback whose experiences often depended upon the prescriber, the time available or the part of the service. Generally, service user experience fell short of the good practice cited by clinicians though there was noticeable variability. Commitment from organizations and increasing understanding from practitioners are vital in transforming SDM from rhetoric into reality. From our findings a further challenge is to ensure that prescribers and service users have the time, information and tools to implement it consistently.
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spelling pubmed-85310652021-11-04 Shared and Supported Decision Making in Medication in a Mental Health Setting: How Far Have We Come? Pappa, Sofia Barnett, Joshua Gomme, Sally Iliopoulou, Anthi Moore, Ivan Whitaker, Michael McGrath, Jane Sie, Michele Community Ment Health J Original Paper Personalised care involves shared decision making (SDM) across all levels including choice in medication. However, there are a number of barriers which prevent its effective implementation in routine mental health settings. Therefore, we undertook a study to benchmark current practice across clinical services of a large urban mental health provider. The study formed part of the trust-wide ‘Supported Decision Making in Medication’ Co-Production Project and aims to inform future recommendations in delivering against contemporary best practice, guidance and policy. A survey exploring the views and experiences of service users and prescribers on shared and supported decision-making in medication was carried out in West London NHS Trust. Questionnaires were fully co-designed and co-delivered by a group of health professionals and individuals with lived experience. There were 100 responses from service users and 35 from prescribers. There was some good practice where both parties reported good quality conversations concerning dialogic styles, collaborative process, information provided and range of choice offered. However, prescriber’s perception of their practice was not always mirrored by service user feedback whose experiences often depended upon the prescriber, the time available or the part of the service. Generally, service user experience fell short of the good practice cited by clinicians though there was noticeable variability. Commitment from organizations and increasing understanding from practitioners are vital in transforming SDM from rhetoric into reality. From our findings a further challenge is to ensure that prescribers and service users have the time, information and tools to implement it consistently. Springer US 2021-02-05 2021 /pmc/articles/PMC8531065/ /pubmed/33544295 http://dx.doi.org/10.1007/s10597-021-00780-2 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Paper
Pappa, Sofia
Barnett, Joshua
Gomme, Sally
Iliopoulou, Anthi
Moore, Ivan
Whitaker, Michael
McGrath, Jane
Sie, Michele
Shared and Supported Decision Making in Medication in a Mental Health Setting: How Far Have We Come?
title Shared and Supported Decision Making in Medication in a Mental Health Setting: How Far Have We Come?
title_full Shared and Supported Decision Making in Medication in a Mental Health Setting: How Far Have We Come?
title_fullStr Shared and Supported Decision Making in Medication in a Mental Health Setting: How Far Have We Come?
title_full_unstemmed Shared and Supported Decision Making in Medication in a Mental Health Setting: How Far Have We Come?
title_short Shared and Supported Decision Making in Medication in a Mental Health Setting: How Far Have We Come?
title_sort shared and supported decision making in medication in a mental health setting: how far have we come?
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8531065/
https://www.ncbi.nlm.nih.gov/pubmed/33544295
http://dx.doi.org/10.1007/s10597-021-00780-2
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