Supported decision making: A review of the international literature

Gavin Davidson, Berni Kelly, Geraldine Macdonald, Maria Rizzo, Louise Lombard, Oluwaseye Abogunrin, Victoria Clift-Matthews, Alison Martin

Research output: Contribution to journalArticle (Academic Journal)peer-review

55 Citations (Scopus)


Supported decision making (SDM) refers to the process of supporting people, whose decision making ability may be impaired, to make decisions and so promote autonomy and prevent the need for substitute decision making.

There have been developments in SDM but mainly in the areas of intellectual disabilities and end-of-life care rather than in mental health. The main aim of this review was to provide an overview of the available evidence relevant to SDM and so facilitate discussion of how this aspect of law, policy and practice may be further developed in mental health services. The method used for this review was a Rapid

Evidence Assessment which involved: developing appropriate search strategies; searching relevant databases and grey literature; then assessing, including and reviewing relevant studies. Included studies were grouped into four main themes:
studies reporting stakeholders' views on SDM; studies identifying barriers to the implementation of SDM; studies highlighting ways to improve implementation; and studies on the impact of SDM. The available evidence on
implementation and impact, identified by this review, is limited but there are important rights-based, effectiveness and pragmatic arguments for further developing and researching SDM for people with mental health problems.
Original languageEnglish
Pages (from-to)61-67
Number of pages7
JournalInternational Journal of Law and Psychiatry
Publication statusPublished - 2015


Dive into the research topics of 'Supported decision making: A review of the international literature'. Together they form a unique fingerprint.

Cite this