TABLE 9-6 Recommendations for Accreditors of M/SU Health Care Organizations

Overarching Recommendation 1. Health care for general, mental, and substance-use problems and illnesses must be delivered with an understanding of the inherent interactions between the mind/brain and the rest of the body.

Rule 5. Evidence-based decision making—Patients should receive care based on the best available scientific knowledge. Care should not vary illogically from clinician to clinician or from place to place.

Rule 8. Anticipation of needs—The health system should anticipate patient needs, rather than simply reacting to events.

Recommendation 3-1. Accrediting bodies should adopt accreditation standards that require the following practices by organizations providing M/SU treatment services:

  • Policies that implement informed, patient-centered participation and decision making in treatment, illness self-management, and recovery plans.

  • The involvement of patients/consumers and families in the design, administration, and delivery of treatment and recovery services.

  • The incorporation of informed, patient-centered decision making throughout their care, including active patient participation in the design and revisions of patient treatment and recovery plans, the use of psychiatric advance directives, and (for children) informed family decision making. To ensure informed decision making, information on the availability and effectiveness of M/SU treatment options should be provided.

  • Recovery-oriented and illness self-management practices that support patient preferences for treatment (including medications), peer support, and other elements of the wellness recovery plan.

  • Effective, formal linkages with community resources to support patient illness self-management and recovery.

Aim of patient-centered care—Providing care that is respectful of and responsive to individual patient preferences, needs, and values and ensuring that patient values guide all clinical decisions.

Rule 2. Customization based on patient needs and values—The system of care should be designed to meet the most common types of needs, but have the capability to respond to individual patient choices and preferences.

Rule 3. The patient as the source of control—Patients should be given the necessary information and the opportunity to exercise the degree of control they choose over health care decisions that affect them. The health system should be able to accommodate differences in patient preferences and encourage shared decision making.

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