scholarly journals The Montgomery ruling, individual values and shared decision-making in psychiatry

2018 ◽  
Vol 24 (2) ◽  
pp. 93-100 ◽  
Author(s):  
Julian C. Hughes ◽  
David Crepaz-Keay ◽  
Charlotte Emmett ◽  
K. W. M. Fulford
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
Shared Decision Making ◽  
Learning Objectives ◽  
Evidence Based ◽  
List Type ◽  
Shared Decision ◽  
Individual Values ◽  
The Uk

SUMMARYThis article starts with a brief review of the UK Supreme Court's decision in the Montgomery case. Although much of the focus in discussing the case has been on the disclosure of risk, an important aspect of the model of consent contained in the judgment is that of dialogue. The model of informed consent set out in Montgomery suggests shared decision-making as the norm. Central to shared decision-making, however, is an awareness of values and of how values can vary between people. We introduce values-based practice as an approach that is entirely in keeping with the precepts of the Montgomery judgment. We go on to review how values-based practice and shared decision-making are relevant to psychiatric practice, using as examples recovery practice and compulsory detention under the Mental Health Act 1983.LEARNING OBJECTIVES•Appreciate that a new test of consent has been established as of a result of the UK Supreme Court's Montgomery ruling•Learn about the role of values-based practice as a partner to evidence-based practice in implementing Montgomery•Understand how values-based practice and Montgomery together support shared decision-making in psychiatryDECLARATION OF INTERESTNone.

scholarly journals Shared decision making within the context of recovery-oriented care

2017 ◽  
Vol 22 (3) ◽  
pp. 179-190 ◽  
Author(s):  
Larry Davidson ◽  
Janis Tondora ◽  
Anthony J. Pavlo ◽  
Victoria Stanhope
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
Shared Decision Making ◽  
Design Methodology ◽  
Treatment Options ◽  
Service Users ◽  
Shared Decision ◽  
Content Type ◽  
Recovery Planning

Purpose The purpose of this paper is to consider the role of shared decision making (SDM) as one component of recovery-oriented care. Design/methodology/approach This paper is conceptual and reviews the literature relevant to recovery-oriented care, person-centered recovery planning (PCRP), and SDM. Findings To the degree to which SDM offers tools for sharing useful information about treatment options with service users and family members or other loved ones, it can be considered a valuable addition to the recovery-oriented armamentarium. It is important to emphasize, though, that recovery-oriented practice has a broader focus on the person’s overall life in the community and is not limited to formal treatments or other professionally delivered interventions. Within the more holistic context of recovery, SDM regarding such interventions is only one tool among many, which needs to be integrated within an overall PCRP process. More emphasis is given within the recovery-oriented care to activating and equipping persons for exercising self-care and for pursuing a life they have reason to value, and the nature of the relationships required to promote such processes will be identified. In describing the nature of these relationships, it will become evident that decision making is only one of many processes that need to be shared between persons in recovery and those who accept responsibility for promoting and supporting that person’s recovery. Originality/value By viewing SDM within the context of recovery, this paper provides a framework that can assist in the implementation of SDM in routine mental health care.

scholarly journals Collaborative risk assessment in secure and forensic mental health settings in the UK

2020 ◽  
Vol 33 (5) ◽  
pp. e100291
Author(s):  
Sarah Markham
Keyword(s):  
Mental Health ◽  
Risk Assessment ◽  
Decision Making ◽  
Health Policy ◽  
Shared Decision Making ◽  
Shared Decision ◽  
Forensic Mental Health ◽  
Mental Health Settings ◽  
The Uk ◽  
Risk Assessment And Management

Collaborative risk assessment and management have been recommended in health policy for over a decade. We consider the nature and need for collaborative risk assessment and management between patients and clinicians in secure and forensic mental health settings in the context of shared decision making and personalised care in the UK. We examine the extent to which policy and recent initiatives have influenced the embedding of such practice in services through consideration of the evidence provided by research and the Commissioning for Quality and Innovation framework, and conclude that there is a need for further improvement.

The Role of Shared Decision-Making in Audiologic Rehabilitation

2014 ◽  
Vol 21 (1) ◽  
pp. 15-23 ◽  
Author(s):  
Helen Pryce ◽  
Amanda Hall
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Behavior Changes ◽  
Shared Decision ◽  
Patient Centered ◽  
Treatment Information ◽  
Centered Care ◽  
Potential Risks ◽  
Audiologic Rehabilitation

Shared decision-making (SDM), a component of patient-centered care, is the process in which the clinician and patient both participate in decision-making about treatment; information is shared between the parties and both agree with the decision. Shared decision-making is appropriate for health care conditions in which there is more than one evidence-based treatment or management option that have different benefits and risks. The patient's involvement ensures that the decisions regarding treatment are sensitive to the patient's values and preferences. Audiologic rehabilitation requires substantial behavior changes on the part of patients and includes benefits to their communication as well as compromises and potential risks. This article identifies the importance of shared decision-making in audiologic rehabilitation and the changes required to implement it effectively.

The role of a shared decision-making process in paediatric epilepsy surgery

2021 ◽  
Vol 429 ◽  
pp. 119162
Author(s):  
Michelle Gratton ◽  
Bonnie Wooten ◽  
Sandrine Deribaupierre ◽  
Andrea Andrade
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Epilepsy Surgery ◽  
Decision Making Process ◽  
Shared Decision ◽  
Paediatric Epilepsy

How shared is shared decision-making? A care-ethical view on the role of partner and family

2017 ◽  
Vol 43 (9) ◽  
pp. 637-644 ◽  
Author(s):  
Inge van Nistelrooij ◽  
Merel Visse ◽  
Ankana Spekkink ◽  
Jasmijn de Lange
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Shared Decision ◽  
Ethical View
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