Use of ' XXXX self-management strategies' in mental healthcare.

@entity1 @entity102 @entity130 @entity146
PURPOSE OF REVIEW: Medical care for chronic conditions imposes a substantial burden on healthcare systems designed originally for acute @entity130 . The notion of @entity102 self-management (CDSM) has been developed as a means of encouraging individuals with chronic conditions to self-manage their own health. It is known that successful @entity102 management reduces hospital admission rates and improves @entity1 ' quality of life. Although recognized widely by other medical disciplines, it is beginning to have an impact on @entity146 practice; therefore, a review of how the CDSM approach is implemented in psychiatry is timely. RECENT FINDINGS: The move toward self-management in general medicine can be seen by and large as a holistic approach that encourages the @entity1 to work in partnership with health professionals to improve outcomes and assist @entity1 to better manage their healthcare needs. One of the defining features of CDSM approaches is the active collaboration between the @entity1 and the healthcare professional. Five mechanisms that demonstrate such active collaboration are self-directed care, illness management and recovery, shared decision-making, joint crisis planning and wellness planning. Their use in psychiatry is discussed. SUMMARY: The key feature of CDSM approaches is an active collaboration between healthcare professionals and healthcare consumers. It is a fundamental shift away from traditional active expert/passive @entity1 treatment modes. Each of the five approaches discussed exemplifies the active participation in treatment planning by both consumers and mental health professionals.
