End -of -life planning and decision -making: Implications for adults with mental retardation

This research focused on the topic of end-of-life planning and decision-making for adults affected by mental retardation. Adults with mental retardation have unique challenges in this regard, including difficulty communicating their wishes without assistance and diminished decision-making skills. The primary research objective was to identify factors that can affect opportunities for adults with mental retardation in community-based services settings (and their advocates) to be involved in planning and deciding about their own end-of-life experience. ^ A descriptive qualitative inquiry was designed to explore issues related to death and dying, and the notion of end-of-life planning, from the perspective of adults with mental retardation who receive publicly-funded community services ("clients") and family members of individuals who receive such services. Study participants were recruited from a single mental retardation service provider in a large urban setting (the "Agency"). Sixteen clients and 14 families of Agency clients took part. Client data collection was accomplished through face-to-face interviews, focus group meetings, and record reviews; family members were involved in a face-to-face interview only. ^ An initial coding scheme was developed based upon literature and policy reviews, and themes related to the research questions. Analysis involved extracting data from transcripts and records and placing it into appropriate thematic categories, building support for each theme with the accumulated data. Coding themes were modified to accommodate new data when it challenged existing themes. ^ Findings suggest that adults with mental retardation do have the requisite knowledge, interest, and ability to participate in decisions about their end-of-life experience and handling of affairs. Siblings are overwhelmingly the chosen future surrogates and they (or their children) will likely be the end-of-life advocates for their brothers and sisters affected by mental retardation. Findings further point to a need for increased awareness, accurate information, and improved communication about end-of-life issues, both in general and particular to adults affected by mental retardation. Also suggested by the findings is a need to focus on creating accommodations and adaptations that can best uncover a person's authentic views on life and death and related end-of-life preferences. Practical implications and suggestions for further research are also discussed. ^

Probability inundation map for a scenario combining storm surge and sea-level rise

Coastal managers require reliable spatial data on the extent and timing of potential coastal inundation, particularly in a changing climate. Most sea level rise (SLR) vulnerability assessments are undertaken using the easily implemented bathtub approach, where areas adjacent to the sea and below a given elevation are mapped using a deterministic line dividing potentially inundated from dry areas. This method only requires elevation data usually in the form of a digital elevation model (DEM). However, inherent errors in the DEM and spatial analysis of the bathtub model propagate into the inundation mapping. The aim of this study was to assess the impacts of spatially variable and spatially correlated elevation errors in high-spatial resolution DEMs for mapping coastal inundation. Elevation errors were best modelled using regression-kriging. This geostatistical model takes the spatial correlation in elevation errors into account, which has a significant impact on analyses that include spatial interactions, such as inundation modelling. The spatial variability of elevation errors was partially explained by land cover and terrain variables. Elevation errors were simulated using sequential Gaussian simulation, a Monte Carlo probabilistic approach. 1,000 error simulations were added to the original DEM and reclassified using a hydrologically correct bathtub method. The probability of inundation to a scenario combining a 1 in 100 year storm event over a 1 m SLR was calculated by counting the proportion of times from the 1,000 simulations that a location was inundated. This probabilistic approach can be used in a risk-aversive decision making process by planning for scenarios with different probabilities of occurrence. For example, results showed that when considering a 1% probability exceedance, the inundated area was approximately 11% larger than mapped using the deterministic bathtub approach. The probabilistic approach provides visually intuitive maps that convey uncertainties inherent to spatial data and analysis.

Pan-European land cover/use map for 2009

GlobCorine demonstrated an automatic service that can generate in a consistent way land cover / land use maps and land change indicators, based on a CLC-compatible legend. CLC is derived from a visual identification and classification of landscape objects using high resolution images. This methodology provides high thematic accuracy but limits the update rate since it is time-consuming. Therefore, the project evaluated the use of MERIS FR time series, processed automatically to provide a more frequent update of CLC-compatible maps. GlobCorine built upon the experience and resources available through the GlobCover project, to tune the classification chain and adapt it to the EEA needs, covering the pan-European area (including the Mediterranean basin and the European Russia), although the system could be potentially extendable globally. The project delivered two CLC-compatible pan-European land cover maps in less than two years, demonstrating efficient and quick production. The first map is based on Envisat MERIS fine resolution (300m) mode data acquired between end 2004 and mid 2006, while the second used full-year 2009 data. GlobCorine is an initiative of ESA with the partnership of EEA and is implemented by Universite' catholique de Louvain - UCL.

Bathymetric map of Heron Reef, Australia, derived from airborne hyperspectral data at 1 m resolution

A simple method for efficient inversion of arbitrary radiative transfer models for image analysis is presented. The method operates by representing the shape of the function that maps model parameters to spectral reflectance by an adaptive look-up tree (ALUT) that evenly distributes the discretization error of tabulated reflectances in spectral space. A post-processing step organizes the data into a binary space partitioning tree that facilitates an efficient inversion search algorithm. In an example shallow water remote sensing application, the method performs faster than an implementation of previously published methodology and has the same accuracy in bathymetric retrievals. The method has no user configuration parameters requiring expert knowledge and minimizes the number of forward model runs required, making it highly suitable for routine operational implementation of image analysis methods. For the research community, straightforward and robust inversion allows research to focus on improving the radiative transfer models themselves without the added complication of devising an inversion strategy.

Reduction in Calculated Uncertainty of a Noise Map by Improving the Traffic Model Data Through Two Phases

The influence of applying European default traffic values to the making of a noise map was evaluated in a typical environment like Palma de Mallorca. To assess these default traffic values, a first model has been created and compared with measured noise levels. Subsequently a second traffic model, improving the input data used for the first one, has been created and validated according to the deviations. Different methodologies were also examined for collecting model input data that would be of higher quality, by analysing the improvement generated in the reduction in the uncertainty of the noise map introduced by the road traffic noise emission

Modelo para la integración del trazado de infraestructuras lineales en el paisaje y el medio ambiente basado en SIG

El análisis de las diferentes alternativas en la planificación y diseño de corredores y trazados de carreteras debe basarse en la correcta definición de variables territoriales que sirvan como criterios para la toma de decisión y esto requiere un análisis ambiental preliminar de esas variables de calidad. En España, los estudios de viabilidad de nuevas carreteras y autovías están asociados a una fase del proceso de decisión que se corresponde con el denominado Estudio Informativo, el cual establece condicionantes físicos, ambientales, de uso del suelo y culturales que deben ser considerados en las primeras fases de la definición del trazado de un corredor de carretera. Así, la metodología más frecuente es establecer diferentes niveles de capacidad de acogida del territorio en el área de estudio con el fin de resumir las variables territoriales en mapas temáticos y facilitar el proceso de trazado de las alternativas de corredores de carretera. El paisaje es un factor limitante a tener en cuenta en la planificación y diseño de carreteras y, por tanto, deben buscarse trazados más sostenibles en relación con criterios estéticos y ecológicos del mismo. Pero este factor no es frecuentemente analizado en los Estudios Informativos e incluso, si es considerado, los estudios específicos de la calidad del paisaje (estético y ecológico) y de las formas del terreno no incorporan las recomendaciones de las guías de trazado para evitar o reducir los impactos en el paisaje. Además, los mapas de paisaje que se generan en este tipo de estudios no se corresponden con la escala de desarrollo del Estudio Informativo (1:5.000). Otro déficit común en planificación de corredores y trazados de carreteras es que no se tiene en cuenta la conectividad del paisaje durante el proceso de diseño de la carretera para prevenir la afección a los corredores de fauna existentes en el paisaje. Este déficit puede originar un posterior efecto barrera en los movimientos dispersivos de la fauna y la fragmentación de sus hábitats debido a la ocupación parcial o total de las teselas de hábitats con importancia biológica para la fauna (o hábitats focales) y a la interrupción de los corredores de fauna que concentran esos movimientos dispersivos de la fauna entre teselas. El objetivo principal de esta tesis es mejorar el estudio del paisaje para prevenir su afección durante el proceso de trazado de carreteras, facilitar la conservación de los corredores de fauna (o pasillos verdes) y la localización de medidas preventivas y correctoras en términos de selección y cuantificación de factores de idoneidad a fin de reducir los impactos visuales y ecológicos en el paisaje a escala local. Concretamente, la incorporación de valores cuantitativos y bien justificados en el proceso de decisión permite incrementar la transparencia en el proceso de diseño de corredores y trazados de carreteras. Con este fin, se han planteado cuatro preguntas específicas en esta investigación (1) ¿Cómo se seleccionan y evalúan los factores territoriales limitantes para localizar una nueva carretera por los profesionales españoles de planificación del territorio en relación con el paisaje? (2) ¿Cómo pueden ser definidos los corredores de fauna a partir de factores del paisaje que influyen en los movimientos dispersivos de la fauna? (3) ¿Cómo pueden delimitarse y evaluarse los corredores de fauna incluyendo el comportamiento parcialmente errático en los movimientos dispersivos de la fauna y el efecto barrera de los elementos antrópicos a una escala local? (4) ¿Qué y cómo las recomendaciones de diseño de carreteras relacionadas con el paisaje y las formas del terreno pueden ser incluidas en un modelo de Sistemas de Información Geográfica (SIG) para ayudar a los ingenieros civiles durante el proceso de diseño de un trazado de carreteras bajo el punto de vista de la sostenibilidad?. Esta tesis doctoral propone nuevas metodologías que mejoran el análisis visual y ecológico del paisaje utilizando indicadores y modelos SIG para obtener alternativas de trazado que produzcan un menor impacto en el paisaje. Estas metodologías fueron probadas en un paisaje heterogéneo con una alta tasa de densidad de corzo (Capreolus capreolus L.), uno de los grandes mamíferos más atropellados en la red de carreteras españolas, y donde está planificada la construcción de una nueva autovía que atravesará la mitad del área de distribución del corzo. Inicialmente, se han analizado las variables utilizadas en 22 estudios de proyectos de planificación de corredores de carreteras promovidos por el Ministerio de Fomento entre 2006 y 2008. Estas variables se agruparon según condicionantes físicos, ambientales, de usos del suelo y culturales con el fin de comparar los valores asignados de capacidad de acogida del territorio a cada variable en los diferentes estudios revisados. Posteriormente, y como etapa previa de un análisis de conectividad, se construyó un mapa de resistencia de los movimientos dispersivos del corzo en base a la literatura y al juicio de expertos. Usando esta investigación como base, se le asignó un valor de resistencia a cada factor seleccionado para construir la matriz de resistencia, ponderándolo y combinándolo con el resto de factores usando el proceso analítico jerárquico y los operadores de lógica difusa como métodos de análisis multicriterio. Posteriormente, se diseñó una metodología SIG para delimitar claramente la extensión física de los corredores de fauna de acuerdo a un valor umbral de ancho geométrico mínimo, así como la existencia de múltiples potenciales conexiones entre cada par de teselas de hábitats presentes en el paisaje estudiado. Finalmente, se realizó un procesado de datos Light Detection and Ranging (LiDAR) y un modelo SIG para calcular la calidad del paisaje (estético y ecológico), las formas del terreno que presentan características similares para trazar una carretera y la acumulación de vistas de potenciales conductores y observadores de los alrededores de la nueva vía. Las principales contribuciones de esta investigación al conocimiento científico existente en el campo de la evaluación del impacto ambiental en relación al diseño de corredores y trazados de carreteras son cuatro. Primero, el análisis realizado de 22 Estudios Informativos de planificación de carreteras reveló que los métodos aplicados por los profesionales para la evaluación de la capacidad de acogida del territorio no fue suficientemente estandarizada, ya que había una falta de uniformidad en el uso de fuentes cartográficas y en las metodologías de evaluación de la capacidad de acogida del territorio, especialmente en el análisis de la calidad del paisaje estético y ecológico. Segundo, el análisis realizado en esta tesis destaca la importancia de los métodos multicriterio para estructurar, combinar y validar factores que limitan los movimientos dispersivos de la fauna en el análisis de conectividad. Tercero, los modelos SIG desarrollados Generador de alternativas de corredores o Generator of Alternative Corridors (GAC) y Eliminador de Corredores Estrechos o Narrow Corridor Eraser (NCE) pueden ser aplicados sistemáticamente y sobre una base científica en análisis de conectividad como una mejora de las herramientas existentes para la comprensión el paisaje como una red compuesta por nodos y enlaces interconectados. Así, ejecutando los modelos GAC y NCE de forma iterativa, pueden obtenerse corredores alternativos con similar probabilidad de ser utilizados por la fauna y sin que éstos presenten cuellos de botella. Cuarto, el caso de estudio llevado a cabo de prediseño de corredores y trazado de una nueva autovía ha sido novedoso incluyendo una clasificación semisupervisada de las formas del terreno, filtrando una nube de puntos LiDAR e incluyendo la nueva geometría 3D de la carretera en el Modelo Digital de Superficie (MDS). El uso combinado del procesamiento de datos LiDAR y de índices y clasificaciones geomorfológicas puede ayudar a los responsables encargados en la toma de decisiones a evaluar qué alternativas de trazado causan el menor impacto en el paisaje, proporciona una visión global de los juicios de valor más aplicados y, en conclusión, define qué medidas de integración paisajística correctoras deben aplicarse y dónde. ABSTRACT The assessment of different alternatives in road-corridor planning and layout design must be based on a number of well-defined territorial variables that serve as decision-making criteria, and this requires a high-quality preliminary environmental analysis of those quality variables. In Spain, feasibility studies for new roads and motorways are associated to a phase of the decision procedure which corresponds with the one known as the Informative Study, which establishes the physical, environmental, land-use and cultural constraints to be considered in the early stages of defining road corridor layouts. The most common methodology is to establish different levels of Territorial Carrying Capacity (TCC) in the study area in order to summarize the territorial variables on thematic maps and facilitate the tracing process of road-corridor layout alternatives. Landscape is a constraint factor that must be considered in road planning and design, and the most sustainable layouts should be sought based on aesthetic and ecological criteria. However this factor is not often analyzed in Informative Studies and even if it is, baseline studies on landscape quality (aesthetic and ecological) and landforms do not usually include the recommendations of road tracing guides designed to avoid or reduce impacts on the landscape. The resolution of the landscape maps produced in this type of studies does not comply with the recommended road design scale (1:5,000) in the regulations for the Informative Study procedure. Another common shortcoming in road planning is that landscape ecological connectivity is not considered during road design in order to avoid affecting wildlife corridors in the landscape. In the prior road planning stage, this issue could lead to a major barrier effect for fauna dispersal movements and to the fragmentation of their habitat due to the partial or total occupation of habitat patches of biological importance for the fauna (or focal habitats), and the interruption of wildlife corridors that concentrate fauna dispersal movements between patches. The main goal of this dissertation is to improve the study of the landscape and prevent negative effects during the road tracing process, and facilitate the preservation of wildlife corridors (or green ways) and the location of preventive and corrective measures by selecting and quantifying suitability factors to reduce visual and ecological landscape impacts at a local scale. Specifically the incorporation of quantitative and well-supported values in the decision-making process provides increased transparency in the road corridors and layouts design process. Four specific questions were raised in this research: (1) How are territorial constraints selected and evaluated in terms of landscape by Spanish land-planning practitioners before locating a new road? (2) How can wildlife corridors be defined based on the landscape factors influencing the dispersal movements of fauna? (3) How can wildlife corridors be delimited and assessed to include the partially erratic movements of fauna and the barrier effect of the anthropic elements at a local scale? (4) How recommendations of road design related to landscape and landforms can be included in a Geographic Information System (GIS) model to aid civil engineers during the road layout design process and support sustainable development? This doctoral thesis proposes new methodologies that improve the assessment of the visual and ecological landscape character using indicators and GIS models to obtain road layout alternatives with a lower impact on the landscape. These methodologies were tested on a case study of a heterogeneous landscape with a high density of roe deer (Capreolus capreolus L.) –one of the large mammals most commonly hit by vehicles on the Spanish road network– and where a new motorway is planned to pass through the middle of their distribution area. We explored the variables used in 22 road-corridor planning projects sponsored by the Ministry of Public Works between 2006 and 2008. These variables were grouped into physical, environmental, land-use and cultural constraints for the purpose of comparing the TCC values assigned to each variable in the various studies reviewed. As a prior stage in a connectivity analysis, a map of resistance to roe deer dispersal movements was created based on the literature and experts judgment. Using this research as a base, each factor selected to build the matrix was assigned a resistance value and weighted and combined with the rest of the factors using the analytic hierarchy process (AHP) and fuzzy logic operators as multicriteria assessment (MCA) methods. A GIS methodology was designed to clearly delimit the physical area of wildlife corridors according to a geometric threshold width value, and the multiple potential connections between each pair of habitat patches in the landscape. A Digital Surface Model Light Detection and Ranging (LiDAR) dataset processing and a GIS model was performed to determine landscape quality (aesthetic and ecological) and landforms with similar characteristics for the road layout, and the cumulative viewshed of potential drivers and observers in the area surrounding the new motorway. The main contributions of this research to current scientific knowledge in the field of environmental impact assessment for road corridors and layouts design are four. First, the analysis of 22 Informative Studies on road planning revealed that the methods applied by practitioners for assessing the TCC were not sufficiently standardized due to the lack of uniformity in the cartographic information sources and the TCC valuation methodologies, especially in the analysis of the aesthetic and ecological quality of the landscape. Second, the analysis in this dissertation highlights the importance of multicriteria methods to structure, combine and validate factors that constrain wildlife dispersal movements in the connectivity analysis. Third, the “Generator of Alternative Corridors (GAC)” and “Narrow Corridor Eraser (NCE)” GIS models developed can be applied systematically and on a scientific basis in connectivity analyses to improve existing tools and understand landscape as a network composed of interconnected nodes and links. Thus, alternative corridors with similar probability of use by fauna and without bottlenecks can be obtained by iteratively running GAC and NCE models. Fourth, our case study of new motorway corridors and layouts design innovatively included semi-supervised classification of landforms, filtering of LiDAR point clouds and new 3D road geometry on the Digital Surface Model (DSM). The combined used of LiDAR data processing and geomorphological indices and classifications can help decision-makers assess which road layouts produce lower impacts on the landscape, provide an overall insight into the most commonly applied value judgments, and in conclusion, define which corrective measures should be applied in terms of landscaping, and where.

Using student feedback to construct an assessment rubric for a concept map in physiology

Constructing quality assessment rubrics can be challenging, especially when they are used for integrated, group-centered, applied learning. We describe a collaborative assessment task in which groups of second-year dentistry students developed a complex concept map. In groups of four, the students were given a written, simulated, medical history of a patient and required to construct a concept map illustrating relevant pathophysiological concepts and pharmacological interventions. This report describes a research project aimed at making educational goals of the task more explicit through investigating student and faculty member understandings of the criteria that might be used to assess the concept map. Information was gathered about the perceptions of students in relation to the learning goals associated with the task. These were compared with faculty member perceptions. The findings were used to develop an assessment rubric intended to be more accessible to learners. The new rubric used the language of both faculty members and students to more clearly represent expectations of each criterion and standard. This assessment rubric will be used in 2005 for the next phase of the project.

Multiresolution spatial databases: Making web-based spatial advances faster

Spatial data has now been used extensively in the Web environment, providing online customized maps and supporting map-based applications. The full potential of Web-based spatial applications, however, has yet to be achieved due to performance issues related to the large sizes and high complexity of spatial data. In this paper, we introduce a multiresolution approach to spatial data management and query processing such that the database server can choose spatial data at the right resolution level for different Web applications. One highly desirable property of the proposed approach is that the server-side processing cost and network traffic can be reduced when the level of resolution required by applications are low. Another advantage is that our approach pushes complex multiresolution structures and algorithms into the spatial database engine. That is, the developer of spatial Web applications needs not to be concerned with such complexity. This paper explains the basic idea, technical feasibility and applications of multiresolution spatial databases.

Developing a forest data portal to support multi-scale decision making

Forests play a pivotal role in timber production, maintenance and development of biodiversity and in carbon sequestration and storage in the context of the Kyoto Protocol. Policy makers and forest experts therefore require reliable information on forest extent, type and change for management, planning and modeling purposes. It is becoming increasingly clear that such forest information is frequently inconsistent and unharmonised between countries and continents. This research paper presents a forest information portal that has been developed in line with the GEOSS and INSPIRE frameworks. The web portal provides access to forest resources data at a variety of spatial scales, from global through to regional and local, as well as providing analytical capabilities for monitoring and validating forest change. The system also allows for the utilisation of forest data and processing services within other thematic areas. The web portal has been developed using open standards to facilitate accessibility, interoperability and data transfer.

Project risk management using multiple criteria decision-making technique and decision tree analysis:a case study of Indian oil refinery

This study proposes an integrated analytical framework for effective management of project risks using combined multiple criteria decision-making technique and decision tree analysis. First, a conceptual risk management model was developed through thorough literature review. The model was then applied through action research on a petroleum oil refinery construction project in the Central part of India in order to demonstrate its effectiveness. Oil refinery construction projects are risky because of technical complexity, resource unavailability, involvement of many stakeholders and strict environmental requirements. Although project risk management has been researched extensively, practical and easily adoptable framework is missing. In the proposed framework, risks are identified using cause and effect diagram, analysed using the analytic hierarchy process and responses are developed using the risk map. Additionally, decision tree analysis allows modelling various options for risk response development and optimises selection of risk mitigating strategy. The proposed risk management framework could be easily adopted and applied in any project and integrated with other project management knowledge areas.

Making hiring decisions:a grounded theory approach to a practise-based study of filtering in selection

This thesis objective is to discover “How are informal decisions reached by screeners when filtering out undesirable job applications?” Grounded theory techniques were employed in the field to observe and analyse informal decisions at the source by screeners in three distinct empirical studies. Whilst grounded theory provided the method for case and cross-case analysis, literature from academic and non-academic sources was evaluated and integrated to strengthen this research and create a foundation for understanding informal decisions. As informal decisions in early hiring processes have been under researched, this thesis contributes to current knowledge in several ways. First, it locates the Cycle of Employment which enhances Robertson and Smith’s (1993) Selection Paradigm through the integration of stages that individuals occupy whilst seeking employment. Secondly, a general depiction of the Workflow of General Hiring Processes provides a template for practitioners to map and further develop their organisational processes. Finally, it highlights the emergence of the Locality Effect, which is a geographically driven heuristic and bias that can significantly impact recruitment and informal decisions. Although screeners make informal decisions using multiple variables, informal decisions are made in stages as evidence in the Cycle of Employment. Moreover, informal decisions can be erroneous as a result of a majority and minority influence, the weighting of information, the injection of inappropriate information and criteria, and the influence of an assessor. This thesis considers these faults and develops a basic framework of understanding informal decisions to which future research can be launched.

Does the Swedish Interactive Threshold Algorithm (SITA) accurately map visual field loss attributed to vigabatrin?

Background: Vigabatrin (VGB) is an anti-epileptic medication which has been linked to peripheral constriction of the visual field. Documenting the natural history associated with continued VGB exposure is important when making decisions about the risk and benefits associated with the treatment. Due to its speed the Swedish Interactive Threshold Algorithm (SITA) has become the algorithm of choice when carrying out Full Threshold automated static perimetry. SITA uses prior distributions of normal and glaucomatous visual field behaviour to estimate threshold sensitivity. As the abnormal model is based on glaucomatous behaviour this algorithm has not been validated for VGB recipients. We aim to assess the clinical utility of the SITA algorithm for accurately mapping VGB attributed field loss. Methods: The sample comprised one randomly selected eye of 16 patients diagnosed with epilepsy, exposed to VGB therapy. A clinical diagnosis of VGB attributed visual field loss was documented in 44% of the group. The mean age was 39.3 years∈±∈14.5 years and the mean deviation was -4.76 dB ±4.34 dB. Each patient was examined with the Full Threshold, SITA Standard and SITA Fast algorithm. Results: SITA Standard was on average approximately twice as fast (7.6 minutes) and SITA Fast approximately 3 times as fast (4.7 minutes) as examinations completed using the Full Threshold algorithm (15.8 minutes). In the clinical environment, the visual field outcome with both SITA algorithms was equivalent to visual field examination using the Full Threshold algorithm in terms of visual inspection of the grey scale plots, defect area and defect severity. Conclusions: Our research shows that both SITA algorithms are able to accurately map visual field loss attributed to VGB. As patients diagnosed with epilepsy are often vulnerable to fatigue, the time saving offered by SITA Fast means that this algorithm has a significant advantage for use with VGB recipients.

Mental health pharmacists views on shared decision-making for antipsychotics in serious mental illness

Background People diagnosed with serious mental illnesses (SMIs) such as schizophrenia and bipolar affective disorder are frequently treated with antipsychotics. National guidance advises the use of shared decision-making (SDM) in antipsychotic prescribing. There is currently little data on the opinions of health professionals on the role of SDM. Objective To explore the views and experiences of UK mental health pharmacists regarding the use of SDM in antipsychotic prescribing in people diagnosed with SMI. Setting The study was conducted by interviewing secondary care mental health pharmacists in the UK to obtain qualitative data. Methods Semi-structured interviews were recorded. An inductive thematic analysis was conducted using the method of constant comparison. Main outcome measure Themes evolving from mental health pharmacists on SDM in relation to antipsychotic prescribing in people with SMI. Results Thirteen mental health pharmacists were interviewed. SDM was perceived to be linked to positive clinical outcomes including adherence, service user satisfaction and improved therapeutic relations. Despite more prescribers and service users supporting SDM, it was not seen as being practised as widely as it could be; this was attributed to a number of barriers, most predominantly issues surrounding service user’s lacking capacity to engage in SDM and time pressures on clinical staff. The need for greater effort to work around the issues, engage service users and adopt a more inter-professional approach was conveyed. Conclusion The mental health pharmacists support SDM for antipsychotic prescribing, believing that it improves outcomes. However, barriers are seen to limit implementation. More research is needed into overcoming the barriers and measuring the benefits of SDM, along with exploring a more inter-professional approach to SDM.