1. Shared decision making: The best path toward medication compliance
Sara E. Dugan, Pharm.D., BCPP, BCPS
April 3, 2018
Option 1

2. objectives To identify the steps in the shared decision making process
To describe how shared decision making can fit into treatment plans
To outline at least one example of where shared decision making can be used

3. What is shared decision making ?

4. What is shared decision making (SDM)?
‘…an approach where clinicians and patients share the best available evidence when faced with the task of making decisions, and where patients are supported to consider options, to achieve informed preferences.’
interactive process in which clients and treatment team members work together to make a decision
Elwyn G, Laitner S, Coulter A, Walker E, Watson P, et al. Implementing shared decision making in the NHS. BMJ 2010;341:c5146.
Adams JR, Drake RE. Shared Decision-Making and Evidence-Based Practice. Comm Ment Health Journal 2006;42(1):

5. Confront a decision to be made
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6. Steps of shared decision making
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7. Steps of shared decision making
Preparation and information gathering
Discussion and generating a decision
Re-evaluation and revisions

9. Preparation and Information Gathering
How involved does the client wish to be in making this decision?
What values, preferences or goals does the client have that influence this decision?
Client
Provider
Participation and Preference
Capacity

10. Preparation and Information Gathering
Brainstorm all the options you can think of
What questions does the client need answered regarding this decision?
Utilize decision aids
Image from: Accessed April 25, 2018.

11. SDM Worksheet

13. Discussion and generation of a decision
Review information
Talk through and narrow down the options
Utilize the Ottawa Decision Guide
Make the decision
Image from: Accessed April 25, 2016.
Image from: Accessed April 25, 2016.

16. Re-evaluation and revision
Check back in
What are the benefits from the decision made?
What are the consequences seen of the decision made?
Is a change necessary?
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17. Confront a decision to be made
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18. Example
Heather is working with a new client to the community mental health clinic. The client is considering whether or not to continue on their antipsychotic medication.
DECISION POINT
Information gathering
Decision aids
Review and generate a decision
Re-evaluate
Image available at: Accessed April 25, 2016.

20. Thank you! Any Questions?
Image from: Accessed April 25, 2016.