Supported decision making: A review of the international literature. (January 2015)

• Record Type: Journal Article
• Authors: Davidson, Gavin; Kelly, Berni; Macdonald, Geraldine; Rizzo, Maria; Lombard, Louise; Abogunrin, Oluwaseye; Clift-Matthews, Victoria; Martin, Alison
• Is Part Of: International journal of law and psychiatry. Volume 38(2015)
• Page Start: 61
• Page End: 67
• Publication Date: 2015-01
• Subjects: Mental health law -- Mental capacity law -- Guardianship -- UNCRPD -- Supported decision making -- Substitute decision making; Forensic psychiatry -- Periodicals; Insanity (Law) -- Periodicals; Criminal psychology -- Periodicals; Forensic Psychiatry -- Periodicals; Psychiatrie médico-légale -- Périodiques; Aliénation mentale -- Périodiques; Gerechtelijke psychiatrie; Electronic journals; 614.15
• DOI: 10.1016/j.ijlp.2015.01.008
• Languages: English
• ISSNs: 0160-2527

Abstract

Abstract: Supported decision making (SDM) refers to the process of supporting people, whose decision making ability may be impaired, to make decisions and so promote autonomy and prevent the need for substitute decision making. There have been developments in SDM but mainly in the areas of intellectual disabilities and end-of-life care rather than in mental health. The main aim of this review was to provide an overview of the available evidence relevant to SDM and so facilitate discussion of how this aspect of law, policy and practice may be further developed in mental health services. The method used for this review was a Rapid Evidence Assessment which involved: developing appropriate search strategies; searching relevant databases and grey literature; then assessing, including and reviewing relevant studies. Included studies were grouped into four main themes: studies reporting stakeholders' views on SDM; studies identifying barriers to the implementation of SDM; studies highlighting ways to improve implementation; and studies on the impact of SDM. The available evidence on implementation and impact, identified by this review, is limited but there are important rights-based, effectiveness and pragmatic arguments for further developing and researching SDM for people with mental health problems.