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Community Mental Health Journal

, Volume 46, Issue 5, pp 433–440 | Cite as

Practicing Shared Decision Making in the Outpatient Psychiatric Care of Adults with Severe Mental Illnesses: Redesigning Care for the Future

  • William C. TorreyEmail author
  • Robert E. Drake
Original Paper

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.

Keywords

Shared decision making Evidence-based practice Quality improvement Severe mental illness Schizophrenia Recovery 

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Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  1. 1.Dartmouth Medical SchoolHanoverUSA
  2. 2.Department of PsychiatryLebanonUSA

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