SynthesisCommunity mental health journal2024
Shifting Perspectives on the Challenges of Shared Decision Making in Mental Health Care.
Synthesis in Community mental health journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed.
- Impact of Collaborative Nursing Care on Health Outcomes of Mental Health Day Hospital Users: A Mixed Methods Study.Journal of psychiatric and mental health nursing · 2025Trial
- Empowering Collaboration With Patients: Healthcare Staff's Perspectives on Conditions for Shared Decision-Making in Swedish Psychiatric Care.Journal of evaluation in clinical practice · 2026Article
- When Doing Nothing Feels Safer: A Multilevel Framework for Therapeutic Inertia in Psychiatry.Healthcare (Basel, Switzerland) · 2026Review
- Patient considerations in trauma-focused treatment decision-making: a qualitative study.BMC psychiatry · 2026Article
- Exploring the Mediating Role of Decisional Conflict in the Relationship Between Shared Decision Making, the Use of Routine Outcome Monitoring, Treatment Outcomes and Patient Satisfaction: An Observational Longitudinal Study in Dutch Mental Health Care.Community mental health journal · 2026Observational
- Preferences for Decision-Making Style and Knowledge of and Attitudes To Recovery in Mental Health Professionals Working in Inpatient and Outpatient Settings in Routine Mental Health Practice: An Exploratory Cross-Sectional Study in the Danish Mental Health Services.Administration and policy in mental health · 2026Article
- Shared decision-making in primary care: barriers and facilitators from the physician's and patient's perspectives: a scoping review.Archives of medical science : AMS · 2026Article
- Development of an Essential Information Set for Supporting Life With Bipolar Disorder: A Modified Delphi Study With Patients, Families and Healthcare Professionals.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- The role of healthcare providers in sustainable return-to-work for individuals with common mental disorders.British medical bulletin · 2025Review
- From Idealist to Realist-Designing and Implementing Shared Decision-Making Interventions in the Choice of Antipsychotic Prescription in People Living with Psychosis (SHAPE): A Realist Review.Schizophrenia bulletin · 2025Review
- Review
- Professionals' and Families' Perspectives on Essential Elements of Shared Decision-Making: A Qualitative Analysis on Families with Multiple and Enduring Problems in Integrated Youth Care.Administration and policy in mental health · 2025Article
- From Burden to Empowerment. Patient-Reported Influencing Factors on Participation in Shared Decision Making in Oncology, a Meta-Study.Psycho-oncology · 2025Review
- Triadic Perspectives on Decision Making in Psychiatry: A Qualitative Study on Service Users, Caregivers and Healthcare Professionals in Latvia.Healthcare (Basel, Switzerland) · 2025Article
- The uneven triad: a qualitative study of perspectives of relatives, patients, and professionals on (not) involving relatives in mental health.BMC psychiatry · 2025Article
- Navigating Power Imbalances and Stigma in Mental Healthcare. Patient-Reported Barriers and Facilitators to Participation in Shared Decision-Making in Mental Health Care, a Qualitative Meta-Summary.Health expectations : an international journal of public participation in health care and health policy · 2025Review
- Shared medication coordination in a social psychiatric residence: adaptation to meet local requirements.BMC psychiatry · 2025Article
- Mental health care and pragmatic shared decision making in general practice: an interview study.BJGP open · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Although shared decision making (SDM) has become the most preferable way in doctor-patient communication, it is not fully implemented in mental health care likely due to the complex nature of psychiatric syndromes and treatments. In this review we provide a systematic overview of all perceived and reported barriers to SDM in the literature, acknowledging field-specific challenges, and offering perspectives to promote its wider use. We conducted a systematic search of the wider literature in different databases and included all publications mentioning specified barriers to SDM in psychiatric care. Relevant data and opinions were categorised into micro-, meso- and macro-level themes and put into clinical perspective. We derived 20 barriers to SDM from 100 studies and reports. Eight were on micro-level care delivery, seven involved meso-level issues, five concerned macro-level themes. The multitude of perceived and actual barriers to SDM underline the challenges its implementation poses in mental health care, some of which can be resolved while others are inherent to the nature of the care, with its long-term relationships, complex dynamics, and social consequences, all requiring a flexible approach. We present four perspectives to help change views on the potential of SDM in mental health care.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.