Table 1 CDST Functions and Forms
Core Functions (Standardized) | Forms (Tailored) |
|---|---|
Empowerment-focused therapeutic approach that enhances overall empowerment, and specific feelings of empowerment related to participation in one’s own mental health care and recovery | Examples: • Psychoeducation about patient rights • Validation of desire to participate in treatment decision-making • Exploration of specific treatment preferences and goals • Treatment team handout and discussion of desired role on treatment team • Application of NOW, ASAP, and SCALIE to work towards pursuit of increased treatment participation or improved treatment satisfaction, among other possible goals |
Evidence-based skills training strategies to improve ability to initiate and engage in collaborative decision-making and related skills when desired | Examples: • Role-plays • Worksheets • Relevant examples/vignettes • Application of discussed skills strategies to personal concerns and goals • In group discussion • In session practice of skills • Out of session practice of skills |
Training in specific skills as they specifically apply to collaborative decision-making and related skills: treatment decision identification and goal setting; assertiveness; problem-solving; conflict resolution; using coping strategies to increase ability to engage in collaborative decision-making and related skills | Examples: • NOW • ASAP • SCALIE • “Putting it all together” worksheet • Treatment decision checklist • Resolving disagreements with clinicians diagram • Coping skills practice |
Psychoeducation on relevant topics | Examples: • Provide full manual and overview cards • Discuss what collaborative decision-making is • Pros and cons of collaborative decision-making • Treatment decision checklist • Treatment team worksheet |
Increase comfort and confidence related to participating in treatment decision-making | Examples: • ASAP • Discussion of past experiences with clinicians and how that may shape willingness, comfort, confidence to try collaborative decision-making with new clinicians • Coping skills • Conflict and disagreement session and exercises |
Consider, validate, and support patients in identifying possible solutions for patient level, patient/clinician level, and patient/system level barriers to collaborative decision-making and other aspects of care | Examples: • Pros and cons of collaborative decision-making Discussion of past experiences with clinicians and how that may shape willingness, comfort, confidence to try collaborative decision-making with new clinicians • Coping skills • Conflict and disagreement session and exercises • Advocacy and system advocacy tools |