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Gemeinsame Entscheidungsfindung in der Behandlung von Patienten mit schweren psychischen Erkrankungen: Eine Fokusgruppenuntersuchung

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Sabine Loos, Petra Neumann, Katrin Arnold, Mike Slade, Andrea Fiorillo, Malene Krogsgaard Bording, Tibor Ivanka, Wolfram Kawohl, Bernd Puschner

Translated title of the contributionShared Decision-Making in the Treatment of People with Severe Mental Illness: A Focus Group Study
Original languageGerman
Pages (from-to)23-29
Number of pages7
JournalPsychiatrische Praxis
Issue number1
PublishedJan 2013


King's Authors


Objective: Shared decision-making during the course of treatment is important for people with severe mental illness. However, there is still insufficient knowledge about how people with mental illness view decisions, what kind of decisions are made and how patients experience and perceive the process of participation in routine care.

Methods: A qualitative study with focus groups was conducted with patients with chronic mental illness currently receiving outpatient care (N=23). Interviews were audio-taped, transcribed, coded and content analysed.

Results: Three main themes were extracted from the data: 1. perception of the clinician and participation, 2. process of communication and flow of information, 3. decisions and transfer.

Conclusions: The perception of participation in the decision process depends on a good patient-doctor relationship. Decisions made in the course of an outpatient long-term treatment are complex and are often not made during one single appointment. Frequently, patients seek the advice of people from their social network and/or other health professionals.

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