title: Development of a Shared Decision Making Model in a Community Mental Health Center.
abstract: Shared Decision Making (SDM) is an essential component of recovery oriented treatment for clients with severe and persistent mental illnesses. SDM has been found to be effective in improving outcome of treatment of non-psychiatric ailments, and studies of SDM in community mental health settings are limited. We designed and implemented a low tech SDM program in a non-academic community mental health center and evaluated the outcome on decisional certainty and satisfaction with services. The results suggest that SDM can be effectively integrated with evidence based psychiatric rehabilitation practices utilizing already existing resources.
authors.affiliation: Department of Psychiatry, Berkshire Medical Center, Pittsfield, MA, USA. paudel4sd@gmail.com.
authors.forename: Shreedhar
authors.identifier: http://orcid.org/0000-0002-8423-5231
authors.initials: S
authors.lastname: Paudel
authors.affiliation: Department of Psychiatry, Berkshire Medical Center, Pittsfield, MA, USA.
authors.forename: Neeta
authors.initials: N
authors.lastname: Sharma
authors.affiliation: Health Foundation Nepal, New York, USA.
authors.forename: Astha
authors.initials: A
authors.lastname: Joshi
authors.affiliation: Department of Psychiatry, Berkshire Medical Center, Pittsfield, MA, USA.|Community Services Division, Brien Center for Mental Health and Substance Abuse Services, Pittsfield, MA, USA.
authors.forename: Melinda
authors.initials: M
authors.lastname: Randall
mesh_terms: D000368:Aged; D003155:Community Mental Health Centers / Q000458:organization & administration*; D003657:Decision Making; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000523:psychology / Q000534:rehabilitation; D008875:Middle Aged; D017146:Models, Organizational; D017060:Patient Satisfaction
keywords: Community mental health center; Psychosocial rehabilitation; Severe and persistent mental illness; Shared decision making