Aspects of Shared Decision Making in a Cognitive-Educational Intervention for Family Members of Persons Coping With Severe Mental Illness

Abstract

Background: Partnerships and family inclusion are embedded in mental health policies. Shared Decision Making (SDM) is as an effective health communication model designed to facilitate service users and providers engagement in reaching jointly decisions concerning interventions. Keshet is a 15 bi-weekly academic course for family members of people with mental illnesses that enhances positive family cognitive communication skills. Purpose: To exhibit how SDM is inherently expressed in Keshet. Method: We conducted a secondary analysis of previous Keshet evaluation studies and course protocols that focused on revealing SDM use. Results: SDM was found to be a prominent feature in Keshet interventions in both the structure of the course as well as the process and procedures. Following participation in the program, making decisions jointly was found to be a prominent feature. Conclusions: Interventions such as Keshet that include an SDM approach can contribute to the integration of academic, professional and "lived experience" within a shared perspective, thus promoting an enhanced equality- based SDM model that benefits individuals as well as mental health systems.

Keywords: Keshet; dynamic cognitive intervention; family caregivers; mental health; shared decision making.