Model and Strategy
Led by Elyn Saks, a consumer and renowned mental health law expert, Saks Institute will develop and promote
adoption of a new Supported Decision-Making (SDM) approach customized for people with mental illness – a
capability that does not exist today. The profound benefit is the patient being listened to, respected, offered options,
and given a more active role in planning his/her own care. Families will benefit by partnering with their loved one
and supporting his/her sensible choices for optimal wellness. When people have increased self-determination
(control over their lives) they have improved life outcomes: are more likely to be employed, build relationships,
enjoy stable family life, live in the community, contribute to society, and have greater physical and mental health.
Expected results with Saks’ SDM approach include tangible increases in treatment cooperation, decreased health
costs, with intangible benefits of respect, dignity, and patients having a voice in their own care.
Impact
The long-term goal is to empower individuals to become high-functioning members of society. Supported DecisionMaking
(SDM) empowers the individual by giving the ability, rights, and opportunity to plan their care for increased
treatment compliance, dignity, and fewer negative impacts to the community. Anticipated long-term impacts with
Saks’ new SDM approach for those with mental illness include increased physical and mental health for the
individual sustained over time, improved relationships and stability within their families, the ability to become (and
remain) employed, and chance to contribute positively to their communities. As Elyn’s story is a testament, high-functioning
people with mental illness are able to optimize their health and greatest professional aspirations,
exercising their abilities successfully and contribute to their jobs, relationships, families, and communities in
meaningful ways. Public stigma will also be reduced as the public at large will gain greater respect to realize the
potential of those living with mental illness. The Saks’ SDM approach could serve as a catalyst for long-term
empowered care with the patient as the architect of his/her life.
During and beyond the funding period, Saks Institute and its partners will develop and promote adoption of a new
Supported Decision-Making (SDM) approach customized for people with mental illness. Over the next three years,
Saks’ SDM approach will enable firsttime inclusion and empowerment involving hundreds of people with mental
illness in California, and their support teams. As this SDM approach is developed, recognized and publicized
through Saks’ and its partners’ network of national and international contacts, Saks’ SDM approach has the
potential for expansion and nationwide scalability during and beyond the award period. This project has the
potential to improve the lives of hundreds of thousands of people living with, and caring for those who have, mental
illness.
Leadership
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Elyn Saks
Executive Director