Patients' understanding of shared decision making in a mental health setting

Johanne Eliacin, Michelle P. Salyers, Marina Kukla, Marianne S. Matthias

Research output: Contribution to journalArticle

40 Scopus citations


Shared decision making is a fundamental component of patient-centered care and has been linked to positive health outcomes. Increasingly, researchers are turning their attention to shared decision making in mental health; however, few studies have explored decision making in these settings from patients' perspectives. We examined patients' accounts and understanding of shared decision making. We analyzed interviews from 54 veterans receiving outpatient mental health care at a Department of Veterans Affairs Medical Center in the United States. Although patients' understanding of shared decision making was consistent with accounts published in the literature, participants reported that shared decision making goes well beyond these components. They identified the patient-provider relationship as the bedrock of shared decision making and highlighted several factors that interfere with shared decision making. Our findings highlight the importance of the patient-provider relationship as a fundamental element of shared decision making and point to areas for potential improvement.

Original languageEnglish (US)
Pages (from-to)668-678
Number of pages11
JournalQualitative Health Research
Issue number5
StatePublished - May 4 2015


  • communication
  • decision making
  • mental health and illness
  • relationships, health care
  • research, qualitative

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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