Although several new studies may lead you to believe that Shared Decision Making is new to the mental healthcare industry, the system has a history of researchers, practitioners and recovered patients. In fact, SDM and medication management go hand-in-hand toward the recovery process.
According to a paper released in 2006 by Pat Deegan, PhD and Associates, mental healthcare professionals of that time period often practiced conceptualized medication management. However, the authors argue that compliance-focused strategies fail due to the complexity of the process, the nature of autonomous patients and an assumed projected learning curve that stretches into decades.
Strategies that help increase compliance in patients with severe mental illnesses are based upon paternalism that clashes with the principles of person-centered healthcare. Furthermore, using medication is a hands-on process that demands complex patient decision making interactions. The Deegan team identified this process as an opportunity for the patient to “work through decisional conflicts.”
To you, or your loved one, this means quicker re-entry into:
Using medication in an SDM environment establishes a partnership between you and your practitioner. It’s an opportunity for studying the success of a treatment within the context of short and long-term recovery from any major mental disorder. Sharing in the decision-making process permits you and your doctor to work as one in the evaluation of the advantages and the disadvantages of any treatment program.
A study conducted in March of 2008 by the Center for Multicultural Mental Health Research out of Cambridge Health Alliance determined that patient-provider communication potentially increases self-reported patient activation, retention and attendance. The study evidenced that intervention participants, when measured against comparison participants, were three times more likely to schedule follow-up medical visits.
SDM as a model for mental health recovery is not new nor is it dormant.
Currently available for free from the Substance Abuse and Mental Health Services Administration: A new CD on Shared Decision Making in Mental Health Decision Aid. The CD-ROM is designed for:
The materials focus on SDM intervention and how it helps people with mental illnesses make the right treatment choices. The context includes:
You can order your free Shared Decision Making CD now at: http://store.samhsa.gov/product/SMA12-4696.Read More
According to reports from the Pennsylvania Mental Health Consumer’s Association (PMHCA), recovery-oriented systems of care have become the single most important solution for mental illness. The work, purposes and goals of the “recovery movement” advance the concept of recovery-oriented system changes.
Whereas previous treatment programs sometimes resisted the notion of permanent healing, the recovery movement focuses on the belief that people are capable of fully recovering from mental illness. As such, recovery-oriented healing should be the primary goal of any mental health service-delivery system.
In the September 2010 Substance Abuse and Mental Health Services Administration (SAMHSA) resource guide, the authors assert a firm belief that ROSC is an integral component of the modern mental healthcare environment. Throughout the guide, caregivers, policy makers and providers of recovery support services are given clear instructions on how to fully integrate ROSC into the evolving changes in governmental mental healthcare programs.
As a relatively new model in the field of substance abuse disorders, ROSC is a continually evolving process. States, communities and even patients will learn and grow as the system is implemented, evaluated and permitted to mature. Sweeping changes in national healthcare reform promotes expanded coverage for citizens suffering from mental health disorders and substance abuse issues. ROSC is ingrained into the new health model. The focus on early intervention, prevention, treatment and full recovery shall rule the future of mental health management.
Mental patients and the families of mental patients can expect to see a change in mental health care that will align the tenets of reform benefits, current program frameworks and the history of ROSC into a single and efficient method of recovery-orientated mental health programs. The process promotes healing through:
Through the practical application of recovery-orientated systems of care, a mental health patient can be healed, transformed and empowered to attain his or her full potential as a productive member of the local and global community. So, will ROSC open doors into a brave new world?
Time will tell.Read More
At twenty-four years old, Susan Harris suffers from bipolar disorder, drug abuse, migraine headaches and social phobia. Due to poor coping skills, she lives with her parents. Normally she responds well to medication.
But on November 13th of 2012, Susan disappeared for four days and three nights. It wasn’t the first or the longest. On Friday the 16th, they found her in the alley on the backside of the DeWolfe Street hardware store. Cold, wet and shaking like a loose shelf in a 1850s freight car, she was huddle between the block walls and the dumpster. No one knows what happened or where she spent those missing days.
The burdens of caring for a young adult with bipolar disorder can break a parent’s heart. Each day carries a certain measure of fear and worry – even when the child’s current medication appears to provide measurable success. At any moment something can break and your bipolar child crosses into a season of darkness.
Bipolar disorder is typically characterized by discrete and intense emotional changes ranging from extreme manic excitement to deep level bouts with depression. However, the disorder can also be limited to periods of long-lasting unstable mood patterns. When complicated by any of the following co-existing illnesses, bipolar disorder can be very difficult to detect and diagnose:
Bipolar disorder cannot be cured. Modern treatment helps, but this illness remains a lifelong affliction. Effective control methods include:
According to the National Institute of Mental Health, several new studies indicate medication supported by intensive psychotherapy and social rhythm therapy provides better results than those achieved via collaborative care and psycho-education sessions. Yet the big question remains:
How long will it be before the parents of Susan Harris must endure another vanishing daughter ordeal?Read More