Clinical therapeutics: Edited by Dieter Naber and Harold PincusRecent advances in shared decision making for mental healthPatel, Sapana Ra; Bakken, Suzanneb; Ruland, Corneliac Author Information aDepartment of Psychiatry, College of Physicians and Surgeons, New York State Psychiatric Institute, USA bSchool of Nursing and Department of Biomedical Informatics, Columbia University, New York, New York, USA cCenter for Shared Decision Making and Nursing Research, Rikshospitalet Medical Center, Oslo, Norway Correspondence to Sapana R. Patel, PhD, College of Physicians and Surgeons, New York Psychiatric Institute, Columbia University, 1051 Riverside Drive, Unit 69, New York, NY 10032, USA Tel: +1 212 543 6837; fax: +1 212 543 6515; e-mail: [email protected] Current Opinion in Psychiatry: November 2008 - Volume 21 - Issue 6 - p 606-612 doi: 10.1097/YCO.0b013e32830eb6b4 Buy Metrics Abstract Purpose of review Shared decision making (SDM) in nonmental health populations has documented positive services and health benefits. To advance integration of SDM into mental healthcare, researchers have outlined several priorities for future research. These include (1) clarifying the role of SDM in mental healthcare; (2) understanding patient and provider perspectives on SDM; (3) assessment of SDM practice in mental health settings; and (4) outcomes of SDM in mental health populations. This article will review recent advances in these areas. Recent findings The current literature shows that SDM can play a role in the mental health treatment process from entry into care to recovery. Patients and providers find SDM acceptable and express a willingness to engage in SDM for reasons that are multifactorial. Barriers to SDM exist in mental health decision making including patient preferences and provider-level biases. Lastly, outcome research provides encouraging preliminary evidence for feasibility and effectiveness of SDM during the mental health encounter. Summary Although there have not been a great number of SDM studies in mental health to date, the positive effects of SDM are comparable to those documented in general nonmental health patient groups, suggesting that future research has the potential to result in findings that are likely to be helpful for patients with psychiatric disorders. © 2008 Lippincott Williams & Wilkins, Inc.