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Table 1 SDM-ROM model

From: Shared Decision Making in mental health care using Routine Outcome Monitoring as a source of information: a cluster randomised controlled trial

1. Introduction

➣ Refer to expectations about shared process.

➣ Discuss which role the patient desires in decision making.

➣ Connect with patient’s wishes and goals. ‘What does he/she want to achieve in treatment?’

➣ Explain about ROM as an information source.

2. Give meaning to ROM

➣ Discuss ROM outcomes

➣ Steps:

Identify, Understand, Appreciate, Act.

3. Explore options

➣ Discuss options, advantages and disadvantages, in a neutral manner.

4. Weigh options

➣ Weigh advantages and disadvantages: ‘What’s for you important?’

5. Shared Decision

➣ Can a choice be made?

➣ Select together most appropriate option.

➣ Make follow-up appointments.

  1. Shared Decision Making using Routine Outcome Monitoring as an information source (Step 1 to 5)