Fukui Sadaaki, Salyers Michelle P, Rapp Charlie, Goscha Rick, Young Leslie, Mabry Ally
Director of Research, Center for Mental Health Research and Innovation, University of Kansas School of Social Welfare, 1315 Wakarusa Dr., Lawrence, KS 66049, U.S.A; TEL: 785-864-5874; FAX: 785-864-5277.
Professor of Psychology and Director of the Clinical Psychology Program, Indiana University Purdue University Indianapolis (IUPUI); Co-Director of the ACT Center of Indiana, U.S.A. TEL: 317-274-2904.
Am J Psychiatr Rehabil. 2016;19(3):252-267. doi: 10.1080/15487768.2016.1197864. Epub 2016 Aug 19.
Shared decision-making has become a central tenet of recovery-oriented, person-centered mental health care, yet the practice is not always transferred to the routine psychiatric visit. Supporting the practice at the system level, beyond the interactions of consumers and medication prescribers, is needed for successful adoption of shared decision-making. CommonGround is a systemic approach, intended to be part of a larger integration of shared decision-making tools and practices at the system level. We discuss the organizational components that CommonGround uses to facilitate shared decision-making, and we present a fidelity scale to assess how well the system is being implemented.
共同决策已成为以康复为导向、以人为本的精神卫生保健的核心原则，但这种做法并不总是能转化为常规的精神科就诊。要成功采用共同决策，需要在系统层面而非仅在消费者与药物开方者的互动层面支持这种做法。“共同基础”是一种系统方法，旨在成为系统层面共同决策工具和做法更大整合的一部分。我们讨论了“共同基础”用于促进共同决策的组织组成部分，并提出了一个保真度量表来评估该系统的实施效果。
