We are in the beginning stages of a long-term translational project. We are working on developing an intervention to improve shared decision making in chronic pain and mental health care. We are collecting observational and interview data from these two care settings to identify strengths and weaknesses in communication and how communicating treatment decisions can be improved to better involve collaboration and equipoise between patients and providers. Once we analyze data from these observations, we will use this information to design and test an intervention to improve shared decision making. The next step will then be implementing this intervention into clinics.