Using An Academic-Community Partnership to Study Shared Decision Making in Public Mental Health

2.50
Hdl Handle:
http://hdl.handle.net/10755/155045
Type:
Presentation
Title:
Using An Academic-Community Partnership to Study Shared Decision Making in Public Mental Health
Abstract:
Using An Academic-Community Partnership to Study Shared Decision Making in Public Mental Health
Conference Sponsor:Sigma Theta Tau International
Conference Year:2010
Author:Mahone, Irma H., PhD
P.I. Institution Name:University of Virginia
Title:Research Assistant Professor
21st INRC [Research Presentation] Purpose: Shared decision making (SDM) holds promise as an emerging best-practice strategy to better engage persons with serious mental illness (SMI) in all aspects of their recovery including decisions about their medications, the need for adherence and collaboration with their provider. SDM may also lead to a better understanding about the effectiveness of antipsychotic medicines in real-world settings. Methods: An academic-community partnership between a School of Nursing (SON) at a public university and a public MH clinic developed around a shared goal of finding an acceptable SDM intervention targeting medication use by persons with SMI. The planning meetings of the partnership were recorded and analyzed, and seven stakeholder focus groups were conducted to gather relevant information on SDM in public MH.  Results: Themes were identified under the partnership process category (agency values/priorities, research agenda, ground rules, communication) and under the SDM content (barriers, information exchange, positive aspects of SDM, technology). Findings from seven stakeholder focus groups: Barriers to SDM ( history of the medical model, MH crises, lack of system support, time); Consumer-related factors (consumer competency, fears, insight, literacy, trauma from past experiences); Information-exchange issues (consumer passivity, whether consumers could be viewed as experts, adequate history information); New skills needed (provider knowledge about alternative treatments, mastery of person-first language, listening skills, consumer ability to articulate their expert information, computer skills); Outcomes (power-sharing, greater follow-through, greater self-management, improved therapeutic alliances.) Conclusion: Using the academic-community partnership allowed the community agency to raise questions and concerns throughout the process, be actively involved in research activities, participate in the reflective activities of the impact of SDM on practice and policy, and to feel ownership of the project. Conducting focus groups with stakeholders yielded valuable information in planning for implementing SDM in public MH.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleUsing An Academic-Community Partnership to Study Shared Decision Making in Public Mental Healthen_GB
dc.identifier.urihttp://hdl.handle.net/10755/155045-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Using An Academic-Community Partnership to Study Shared Decision Making in Public Mental Health</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Mahone, Irma H., PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Virginia</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Research Assistant Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">ih3xn@virginia.edu</td></tr><tr><td colspan="2" class="item-abstract">21st INRC [Research Presentation] Purpose: Shared decision making (SDM) holds promise as an emerging best-practice strategy to better engage persons with serious mental illness (SMI) in all aspects of their recovery including decisions about their medications, the need for adherence and collaboration with their provider. SDM may also lead to a better understanding about the effectiveness of antipsychotic medicines in real-world settings. Methods: An academic-community partnership between a School of Nursing (SON) at a public university and a public MH clinic developed around a shared goal of finding an acceptable SDM intervention targeting medication use by persons with SMI. The planning meetings of the partnership were recorded and analyzed, and seven stakeholder focus groups were conducted to gather relevant information on SDM in public MH.&nbsp; Results: Themes were identified under the partnership process category (agency values/priorities, research agenda, ground rules, communication) and under the SDM content (barriers, information exchange, positive aspects of SDM, technology). Findings from seven stakeholder focus groups: Barriers to SDM ( history of the medical model, MH crises, lack of system support, time); Consumer-related factors (consumer competency, fears, insight, literacy, trauma from past experiences); Information-exchange issues (consumer passivity, whether consumers could be viewed as experts, adequate history information); New skills needed (provider knowledge about alternative treatments, mastery of person-first language, listening skills, consumer ability to articulate their expert information, computer skills); Outcomes (power-sharing, greater follow-through, greater self-management, improved therapeutic alliances.) Conclusion: Using the academic-community partnership allowed the community agency to raise questions and concerns throughout the process, be actively involved in research activities, participate in the reflective activities of the impact of SDM on practice and policy, and to feel ownership of the project. Conducting focus groups with stakeholders yielded valuable information in planning for implementing SDM in public MH.</td></tr></table>en_GB
dc.date.available2011-10-26T13:29:27Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T13:29:27Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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