Even among those who seek treatment, many have reported frustration with not being involved in treatment decisions and with providers’ disregard for their care (Crane-Ross, Roth, & Lauber, 2000 Fisher et al. This treatment gap suggests many adults with SPMI are living without formal support in their communities. However, despite outpatient mental health facilities being the largest providers, in recent years (i.e., 2013, 2014) 37% of adults with severe mental illness did not seek any mental health treatment, whether outpatient or inpatient care or through prescription medications (SAMHSA, 2014). The predominant source of mental health treatment in the United States is provided as community-based outpatient care, which serves approximately 38% of adults with SPMI (Substance Abuse and Mental Health Services Administration, 2012). SPMI diagnoses include schizophrenia, major depression, and bipolar disorder (DHHS, 1999). 4–5), the designation SPMI implies a greater level of severity and chronicity. Department of Health and Human Services, 1999, pp. ![]() Whereas mental health disorders are generally “characterized by alterations in thinking, mood, or behavior (or some combination thereof) associated with distress and/or impaired functioning” (U.S. ![]() adults, often interfering with general life functioning and social relationships of these individuals (Center for Behavioral Health Statistics and Quality, 2015). Severe and persistent mental illness (SPMI) affects 4.1% of U.S. These findings support current literature and practical implications that might inform the ways in which professionals use personal medicine. Conclusions : Participants report personal medicine to have benefit, value, and purpose that impact recovery. Several factors contribute to the use of personal medicine, including the individualization of personal medicine by consumers, how consumers define the concept of personal medicine, and the purposes and benefits of personal medicine. Results: Personal medicine might be a larger concept than can be explained by any single modality. Comprehensive member checks ensured trustworthiness. Interviews were transcribed and coded, and findings were corroborated with consultant panels. Participants were interviewed using a naturalistic inquiry approach and a semi-structured interview protocol of open-ended questions. Participants used Common Ground, a software program that formalizes SDM and uses the concept of personal medicine. ![]() Method: A sample of 14 consumers with severe and persistent mental illness were selected from a local community mental health agency using purposeful sampling. This exploratory, qualitative study investigates how mental health consumers define and use personal medicine. 31), has been incorporated into SDM when applied in mental health settings. Personal medicine, defined as “self-initiated, non-pharmaceutical self-care activities that serve to decrease symptoms, avoid undesirable outcomes such as hospitalization, and improve mood, thoughts, behaviors, and overall sense of well-being” (Deegan, 2005, p. Objective: Shared decision making (SDM) is an approach adapted from the health care field for use in mental health treatment because SDM promotes collaborative decision making of providers and consumers regarding treatment options and goals.
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