Supported Decision-Making

The Expectations Held by People With Experience of Mental Illness

Dados Bibliográficos

ID4659869
AutoresFauzia Knight (0000-0003-0845-9011, University of Oxford, Oxford, United Kingdom), Renata Kokanović (0000-0002-4308-3403, RMIT University, Melbourne, Victoria, Australia, autor correspondente), Damien Ridge (0000-0001-9245-5958, University of Westminster, London, United Kingdom), Lisa Brophy (0000-0001-6460-3490, The University of Melbourne, Melbourne, Victoria, Australia), Nicholas Hill (0000-0002-6998-0559, RMIT University, Melbourne, Victoria, Australia), Kate Johnston-Ataata (RMIT University, Melbourne, Victoria, Australia), Kate Johnston‐ataata (0000-0003-4853-651X, RMIT University), Helen Herrman (0000-0003-3064-1813, The University of Melbourne, Melbourne, Victoria, Australia)
Ano2018
Volume28
Fascículo6
Páginas1002-1015
Data de publicação2018-05-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoQualitative Health Research (JOURNAL)
Identificadores do periódicoISSN: 1049-7323 • E-ISSN: 1552-7557
EditoraSAGE Publications Inc (PUBLISHER)
DOI10.1177/1049732318762371
PMID29557294
OpenAlexW2790288958
IdiomaEN
Citações recebidas12
Referências citadas50

Supported decision-making (SDM) is a principle guiding mental health service provision, which aims to improve people's ability to make informed decisions about their care. Understanding diverse individual needs is vital to its success. Based on 29 narrative interviews with people diagnosed with mental illness in Australia, we examine how participants reflected on their own experiences of SDM. We find that participants' conceptualization of mental health expertise, their own experiences and sense of agency, and their varying needs for dependence and independence influenced their relationships with mental health practitioners. These factors in turn shaped their expectations about SDM. Four narrative positions emerged: the "Inward Expert," the "Outward Entrustor," the "Self-Aware Observer," and the "Social Integrator." These positionings influenced the type or style of support that participants expected and considered most useful. Our findings are relevant to developing effective approaches to SDM that take into account service users' needs and preferences

Mental health · Mental illness · Psychiatry · Applied Psychology · Mental Health and Patient Involvement · Mental Health and Psychiatry · Psychology · Schizophrenia research and treatment · Social Psychology