Book contents
- Clinical Reasoning and Decision-Making in Psychiatry
- Reviews
- Clinical Reasoning and Decision-Making in Psychiatry
- Copyright page
- Contents
- Foreword
- Preface
- 1 Making Sense of the Senseless: How to Gather and Organize Pertinent Information
- 2 The Approach to Diagnostic Ambiguity
- 3 What the Patient Isn’t Telling You: When Seeing Is Not Believing
- 4 Shared Decision-Making
- 5 Deciding on Appropriate Treatment Modalities: Medication, Psychotherapy, Hospitalization, and Other Levels of Care
- 6 Measurement-Based Care and Applying Statistical Concepts to the Individual Patient
- 7 Hypothesis-Testing and Crafting Patient-Specific Decision Trees
- 8 Decision Points in Iterative Pharmacotherapy
- 9 Hierarchical and Complex Pharmacotherapy Decision-Making
- 10 Prioritizing the Components of Any Decision-Making Model
- Index
- References
4 - Shared Decision-Making
Published online by Cambridge University Press: 25 March 2024
Book contents
- Clinical Reasoning and Decision-Making in Psychiatry
- Reviews
- Clinical Reasoning and Decision-Making in Psychiatry
- Copyright page
- Contents
- Foreword
- Preface
- 1 Making Sense of the Senseless: How to Gather and Organize Pertinent Information
- 2 The Approach to Diagnostic Ambiguity
- 3 What the Patient Isn’t Telling You: When Seeing Is Not Believing
- 4 Shared Decision-Making
- 5 Deciding on Appropriate Treatment Modalities: Medication, Psychotherapy, Hospitalization, and Other Levels of Care
- 6 Measurement-Based Care and Applying Statistical Concepts to the Individual Patient
- 7 Hypothesis-Testing and Crafting Patient-Specific Decision Trees
- 8 Decision Points in Iterative Pharmacotherapy
- 9 Hierarchical and Complex Pharmacotherapy Decision-Making
- 10 Prioritizing the Components of Any Decision-Making Model
- Index
- References
Summary
Thus far we have discussed how clinicians are the primary if not sole evaluators and decision-makers when it comes to devising treatment recommendations. Shared decision-making (SDM) is a not-so-new but increasingly recognized form of patient-centered care in which a patient and their clinician actively collaborate to determine which treatment options are most consistent with the patient’s own values, priorities and goals. As described originally by Charles et al. (1997) and later expanded on by Elwyn et al. (2012), an SDM model first involves introducing choice followed by describing options (sometimes using patient decision-support tools – such as charts, graphs, brochures, interactive websites, or audiovisual materials) followed by helping patients explore their preferences in order to make the best decisions for them. Greater focus is placed on the patient’s own narrative and personal experience as influencing treatment decisions, rather than on general diagnostic issues or outcomes.
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- Clinical Reasoning and Decision-Making in Psychiatry , pp. 80 - 111Publisher: Cambridge University PressPrint publication year: 2024
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