Supporting shared decision making beyond consumer-prescriber interactions: Initial development of the CommonGround fidelity scale

ABSTRACT Shared decision making has become a central tenet of recovery-oriented, person-centered mental health care, yet the practice is not always transferred to the routine psychiatric visit. Supporting the practice at the system level, beyond the interactions of consumers and medication prescribers, is needed for successful adoption of shared decision making. CommonGround is a systemic approach, intended to be part of a larger integration of shared decision-making tools and practices at the system level. The authors discuss the organizational components that CommonGround uses to facilitate shared decision making, and we present a fidelity scale to assess how well the system is being implemented.