Overcoming Barriers to Autonomy Using Supported Decision-Making (SDM) and Informed Consent: Perspectives and Practical Responses

Dana D. Lloyd, Devon Orland, J.D., and Stephanie Diaz

The session aims to explore the perceived and reported barriers to Supported Decision-Making (SDM) in mental health care, acknowledging field-specific challenges and offering perspectives to promote its wider adoption. It will review micro-, meso-, and macro-level themes of barriers and suggest practical responses to each. In addition, the session will explore concerns about autonomy-based justifications and propose strategies to reconcile autonomy with informed consent and the perceived need to ensure autonomous decision-making. The discussion will highlight the diverse challenges in SDM implementation, including long-term relationships, complex dynamics, and societal influences, emphasizing the need for a flexible approach. Additionally, the session will offer perspectives to change views on the potential of SDM in mental health care.

Learning Objectives:
Attendees will…

  • Understand the perceived and reported micro-, meso-, and macro-level barriers to Supported Decision-Making (SDM) in mental health care.
  • Explore practical responses to overcome barriers to SDM at each level.
  • Gain insights into perspectives that can shift perceptions and enhance the utilization of SDM in mental health care settings.
  • Examine strategies to reconcile autonomy with informed consent requirements, considering the complexities involved.