title: Shared decision-making in the primary care treatment of late-life major depression: a needed new intervention?
abstract: OBJECTIVE
  We suggest that clinicians consider models of shared decision-making (SDM) for their potential ability to improve the treatment of major depression in the primary care setting and overcome limitations of collaborative care and other interventions.
  
  
  METHODS
  We explore the characteristics and techniques of patient-clinician SDM, with particular emphasis on this model's relevance to the unique treatment concerns of depressed older adults.
  
  
  RESULTS
  We describe a SDM intervention to engage older adults in depression treatment in the primary care sector.
  
  
  CONCLUSIONS
  It is timely to examine SDM models for elderly depressed primary care patients given their potential ability to improve treatment adherence and clinical outcomes.
authors: Department of Psychiatry, Weill Cornell Medical College, USA. praue@med.cornell.edu
authors: Patrick J
authors: PJ
authors: Raue
authors: Herbert C
authors: HC
authors: Schulberg
authors: Roberto
authors: R
authors: Lewis-Fernandez
authors: Carla
authors: C
authors: Boutin-Foster
authors: Amy S
authors: AS
authors: Hoffman
authors: Martha L
authors: ML
authors: Bruce
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003657:Decision Making; D003865:Major Depressive Disorder / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008962:Models, Theoretical; D010342:Patient Acceptance of Health Care / Q000523:psychology; D010358:Patient Participation; D011320:Primary Health Care / Q000458:organization & administration*