Adapting Open Dialogue for Early-Onset Psychosis Into the U.S. Health Care Environment: A Feasibility Study

Gordon, Christopher J.; Gidugu, Vasudha; Rogers, E. Sally; DeRonck, John; Ziedonis, Douglas M.

doi:10.1176/appi.ps.201600271

Cited by 52 publications

(60 citation statements)

References 8 publications

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“…Due to its potential as an alternative approach to mental health care, there has been increasing interest in Open Dialogue outside Finland. Over the last two decades, Open Dialogue has been introduced in health care services across Scandinavia, the United Kingdom, Italy, Germany, and the United States (for examples see Brottveit, ; Buus et al, ; Gordon et al, ; Holmesland, ; Razzaque & Wood, ; Rosen & Stoklosa, ). As Open Dialogue expands to settings outside of Finland, there is a need for contextually specific local adaptions of the approach and a need to understand successful implementation strategies, including Australian applications.…”

Section: Faq 1 Don't We Do This Already?mentioning

confidence: 99%

Open Dialogue: Frequently Asked Questions

Ong

Barbara-May

Brown

et al. 2019

ANZ J of Family Therapy

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Open Dialogue is an approach to working with people and their families experiencing psychosocial distress. Interest in Open Dialogue in Australia has been growing recently, raising questions about its adaption and implementation to local contexts. This article is an attempt to answer some of the frequently asked questions we have encountered in training and discussions about Open Dialogue. We attempt to provide responses to questions of how Open Dialogue is different to what is done already, how it fits with current approaches, how you know if you are doing it, whether it is passive or just about doing reflections, issues about including the social network, and concerns about the evidence base. This article aims to present a variety of viewpoints in relation to these questions and to hopefully further discussions on how Open Dialogue can be implemented and adapted to Australian health care and social care contexts.

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Section: Faq 1 Don't We Do This Already?mentioning

confidence: 99%

Open Dialogue: Frequently Asked Questions

Ong

Barbara-May

Brown

et al. 2019

ANZ J of Family Therapy

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“…Outcome studies on both OD (Seikkula et al, 2006;Gordon et al, 2016) and NAA (Lehtinen et al, 2000) indicate that with low-threshold-and integrative family-oriented treatment of first-episode psychosis, the total recovery rates are often better than those with treatment-as-usual. For example, two-and five-year non-randomized follow-up studies conducted in Western Lapland showed that with OD there is a decrease in both the overall need for psychiatric treatment and the incidence of residual psychotic symptoms (Seikkula et al, 2011).…”

Section: Accepted Manuscriptmentioning

confidence: 99%

The family-oriented open dialogue approach in the treatment of first-episode psychosis: Nineteen–year outcomes

Bergström

Seikkula

Alakare

et al. 2018

Psychiatry Research

132

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Open Dialogue (OD) is a family-oriented early intervention approach which has demonstrated good outcomes in the treatment of first-episode psychosis (FEP). Nevertheless, more evidence is needed. In this register-based cohort study the long-term outcomes of OD were evaluated through a comparison with a control group over a period of approximately 19 years. We examined the mortality, the need for psychiatric treatment, and the granting of disability allowances. Data were obtained from Finnish national registers regarding all OD patients whose treatment for FEP commenced within the time of the original interventions (total N = 108). The control group consisted of all Finnish FEP patients who had a follow-up of 19-20 years and who were guided to other Finnish specialized mental healthcare facilities (N = 1763). No difference between the samples was found regarding the annual incidence of FEP, the diagnosis, and suicide rates. Over the entire follow-up, the figures for durations of hospital treatment, disability allowances, and the need for neuroleptics remained significantly lower with OD group. Findings indicated that many positive outcomes of OD are sustained over a long time period. Due to the observational nature of the study, randomized trials are still needed to provide more information on effectiveness of approach.

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“…The Open Dialogue approach has continued to be adapted as it has been introduced to sites outside of Finland. Open Dialogue now has a presence across various international settings, including Norway, Denmark, the United States, UK, Italy, Germany (Gordon et al 2016;Rosen & Stoklosa 2016), and more recently Australia. In these settings, it has undergone local adaptations as proponents of Open Dialogue attempt to implement the approach in new and varied social and political contexts.…”

Section: International Adaptations Of Open Dialoguementioning

confidence: 99%

“…In these settings, it has undergone local adaptations as proponents of Open Dialogue attempt to implement the approach in new and varied social and political contexts. Implementation of Open Dialogue outside of Finland is impacted by various contextbound facilitators and barriers, such as staff training, diverse organizational models and service structures, the resourcing of mental health services, and localized translation of the principles of Open Dialogue (Buus et al 2017;Gordon et al 2016;Rosen & Stoklosa 2016).…”

Section: International Adaptations Of Open Dialoguementioning

confidence: 99%

Peer work in Open Dialogue: A discussion paper

Bellingham¹,

Buus

McCloughen

et al. 2018

Int J Mental Health Nurs

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Open Dialogue is a resource-oriented approach to mental health care that originated in Finland. As Open Dialogue has been adopted across diverse international healthcare settings, it has been adapted according to contextual factors. One important development in Open Dialogue has been the incorporation of paid, formal peer work. Peer work draws on the knowledge and wisdom gained through lived experience of distress and hardship to establish mutual, reciprocal, and supportive relationships with service users. As Open Dialogue is now being implemented across mental health services in Australia, stakeholders are beginning to consider the role that peer workers might have in this model of care. Open Dialogue was not, initially, conceived to include a specific role for peers, and there is little available literature, and even less empirical research, in this area. This discussion paper aims to surface some of the current debates and ideas about peer work in Open Dialogue. Examples and models of peer work in Open Dialogue are examined, and the potential benefits and challenges of adopting this approach in health services are discussed. Peer work in Open Dialogue could potentially foster democracy and disrupt clinical hierarchies, but could also move peer work from reciprocal to a less symmetrical relationship of 'giver' and 'receiver' of care. Other models of care, such as lived experience practitioners in Open Dialogue, can be conceived. However, it remains uncertain whether the hierarchical structures in healthcare and current models of funding would support any such models.

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Adapting Open Dialogue for Early-Onset Psychosis Into the U.S. Health Care Environment: A Feasibility Study

Cited by 52 publications

References 8 publications

Open Dialogue: Frequently Asked Questions

Open Dialogue: Frequently Asked Questions

The family-oriented open dialogue approach in the treatment of first-episode psychosis: Nineteen–year outcomes

Peer work in Open Dialogue: A discussion paper

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