Psychiatric clinical practices are usually based on the patient's self-reported symptoms and worries. Whether this "self-reporting" can be carried out in a safe and secure environment affects the quality of the clinical practice.
 Shared decision making (SDM) is an interactive process between at least two parties (patient and provider) in which the sharing of information and opinions occurs, patient preferences and provider responsibilities are discussed, and both parties agree on a course of action (Matthias, 2012). This means that treatment, including prescriptions, should be decided in the process of dialogue between the patient and provider, especially to reflect the voices of the patient.
 We developed an Internet-based software program for SDM called SHARE (Support for Hope and Recovery) and introduced it into comprehensive care for medication consultations. SHARE is a tool used to prepare clinical examinations with the help of peer staff, and by clearly stating"my intentions," "the key to my well-being," and "my goals for today's examination," the patient's desired life and desired treatment are clearly communicated to the attending psychiatrist during the daily examination process. It prevents the mid-to long-term treatment flow from becoming something the patient does not understand.
 From a worldwide perspective, SDM in clinical psychiatry aims to achieve equality between patients and psychiatric health care providers, protect the human rights of patients who are often placed in a vulnerable position, and decide the content of treatment while holding both patients and psychiatric health care providers responsible. Therefore, SDM cannot be established in an environment where the treatment of patients is predominantly determined through non-consensual decision making; the development of SDM is accompanied by the maturation of a community-centered mental health system, which is the basic mental health and welfare measures in Japan.
 Authors' abstract