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. 2010 Oct;46(5):433-40.
doi: 10.1007/s10597-009-9265-9. Epub 2009 Nov 8.

Practicing shared decision making in the outpatient psychiatric care of adults with severe mental illnesses: redesigning care for the future

William C Torrey  1 , Robert E Drake
Affiliations

Practicing shared decision making in the outpatient psychiatric care of adults with severe mental illnesses: redesigning care for the future

William C Torrey et al. Community Ment Health J. 2010 Oct.

Abstract

Psychiatrist outpatient office visits have the potential to support the recovery of adults with severe mental illnesses by engaging them in a collaborative process of evaluating, selecting, and trying individually-tailored therapeutic options. Evidence-informed shared decision making is difficult for psychiatrists to offer within the framework of care as it is delivered today: it requires time, easy access to relevant scientific information, and extensive communication between patients and psychiatrists. In this paper, we describe the current structural obstacles to collaborative psychiatric care and envision a redesigned office visit process that facilitates active informed patient involvement.

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