title: [Shared decision-making in the treatment of people with severe mental illness: a focus group study].
abstract: OBJECTIVE
  Shared decision-making during the course of treatment is important for people with severe mental illness. However, there is still insufficient knowledge about how people with mental illness view decisions, what kind of decisions are made and how patients experience and perceive the process of participation in routine care.
  
  
  METHODS
  A qualitative study with focus groups was conducted with patients with chronic mental illness currently receiving outpatient care (N=23). Interviews were audio-taped, transcribed, coded and content analysed.
  
  
  RESULTS
  Three main themes were extracted from the data: 1. perception of the clinician and participation, 2. process of communication and flow of information, 3. decisions and transfer.
  
  
  CONCLUSIONS
  The perception of participation in the decision process depends on a good patient-doctor relationship. Decisions made in the course of an outpatient long-term treatment are complex and are often not made during one single appointment. Frequently, patients seek the advice of people from their social network and/or other health professionals.
authors: Klinik für Psychiatrie und Psychotherapie II der Universität Ulm, Günzburg, Germany. sabine.loos@bkh-guenzburg.de
authors: Sabine
authors: S
authors: Loos
authors: Petra
authors: P
authors: Neumann
authors: Katrin
authors: K
authors: Arnold
authors: Mike
authors: M
authors: Slade
authors: Andrea
authors: A
authors: Fiorillo
authors: Malene
authors: M
authors: Krogsgaard Bording
authors: Tibor
authors: T
authors: Ivanka
authors: Wolfram
authors: W
authors: Kawohl
authors: Bernd
authors: B
authors: Puschner
mesh_terms: D000328:Adult; D002908:Chronic Disease; D003142:Communication; D015897:Comorbidity; D003299:Cooperative Behavior; D003657:Decision Making; D005260:Female; D017144:Focus Groups; D005858:Germany; D006801:Humans; D033183:Interdisciplinary Communication; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D008875:Middle Aged; D010353:Patient Education as Topic; D010358:Patient Participation; D010817:Physician-Patient Relations; D012017:Referral and Consultation; D012944:Social Support