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.
Highlights
Caregiving serves as the bedrock upon which health care systems tend to depend
During this long-time span, parents have to cope with a variety of challenges, including those of caregiving as well as from the additional accumulation of other life stressors that potentially all lead to experiencing psychological distress, due to their own health problems and psycho-social situations [1, 4]. These caregiving and other life stressors may affect family caregivers in multiple ways, including increasing their experience of caregiving burden, Keshet Cognitive-Educational Intervention elevating the risk of depression, and diminishing feelings of closeness to their family member who is coping with mental illness [5]
This paper describes a secondary analysis of Keshet components from inception to program evaluation post participation, with the purpose of highlighting elements related to Shared Decision Making (SDM)
Summary
Caregiving serves as the bedrock upon which health care systems tend to depend. The length of active caregiving by parents who have a daughter or son with mental illness often extends for many years [2, 3] During this long-time span, parents have to cope with a variety of challenges, including those of caregiving as well as from the additional accumulation of other life stressors that potentially all lead to experiencing psychological distress, due to their own health problems and psycho-social situations [1, 4]. Keshet is a 15 bi-weekly academic course for family members of people with mental illnesses that enhances positive family cognitive communication skills.
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