title: What Patients With Severe Mental Illness Transitioning From Hospital to Community Have to Say About Care and Shared Decision-Making.
abstract: Shared decision-making (SDM) has been slow to disseminate in mental health. We conducted focus groups with ten individuals with serious mental illness (SMI) treated in a 90 day, outpatient transitional care clinic. Parallel groups were held with family caregivers (n = 8). Individuals with SMI wanted longer visits, to have their stories heard, more information about options presented simply, to hear from peers about similar experiences, and a bigger say in treatment choices. Caregivers wanted to be invited to participate to a larger extent.  Results suggest that after a decade, SDM may not have the expected penetration in community mental health.
authors.affiliation: a University of Texas Health Science Center San Antonio , Department of Psychiatry , San Antonio , Texas , USA.
authors.forename: Dawn I
authors.initials: DI
authors.lastname: Velligan
authors.affiliation: a University of Texas Health Science Center San Antonio , Department of Psychiatry , San Antonio , Texas , USA.
authors.forename: David L
authors.initials: DL
authors.lastname: Roberts
authors.affiliation: a University of Texas Health Science Center San Antonio , Department of Psychiatry , San Antonio , Texas , USA.
authors.forename: Cynthia
authors.initials: C
authors.lastname: Sierra
authors.affiliation: a University of Texas Health Science Center San Antonio , Department of Psychiatry , San Antonio , Texas , USA.
authors.forename: Megan M
authors.initials: MM
authors.lastname: Fredrick
authors.affiliation: b MetroHealth Rehabilitation Institute of Ohio, Center for Health Research and Policy, CWRU School of Medicine , Department of Physical Medicine and Rehabilitation , Cleveland , Ohio , USA.
authors.forename: Mary Jo
authors.initials: MJ
authors.lastname: Roach
mesh_terms: D000328:Adult; D000553:Ambulatory Care; D003156:Community Mental Health Services; D003266:Continuity of Patient Care; D003657:Decision Making; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000523:psychology* / Q000628:therapy; D008875:Middle Aged; D010358:Patient Participation