Merging Intentional Peer Support and Dialogic Practice: Implementation Lessons From Parachute NYC

Abstract

This ethnographically informed implementation analysis of Parachute NYC between 2012 and 2015 documents the obstacles that can impede disruptive innovations in public mental health. Parachute combined family-based dialogic practice with peer-staffed crisis respite centers and mixed teams of clinicians and peers in an ambitious effort to revamp responses to psychiatric crises. This Open Forum reviews the demands posed by formidable contextual constraints, extended trainings in novel therapeutic techniques, and the effort to ensure sustainability in a managed care environment. It cautions that requiring innovations AUTHOR AND ARTICLE INFORMATION

Open Dialogue Approach: Exploring and Describing Participants' Experiences in an Open Dialogue Training Program

“…Olson et al (2014) presented 12 fi delity criteria for practicing OD. Unlike fi ndings from the Collaborative Network Approach (CNA) study and Parachute projects, in which the authors pointed to a resistance of the OD model to fi delity criteria and standardization (Florence et al, 2020;Hopper et al, 2020), participants in our study found the 12 fi delity criteria to be helpful elements in the training program. Together with the key markers developed by Eiterå et al (2014), these "manuals" helped participants get a grip on the OD approach.…”

“…According to Buus et al (2017), most of the fi delity criteria constructed for OD were not designed in such a way that they could be used in standardized measurements. Seikkula and Arnkil (2013) point out that context is an important factor in research studies, as does the CNA study (Florence et al, 2020) and the Parachute project (Hopper et al, 2020). Implementation science in general shows that implementation projects are most effective when tailoring a program fi t for the exact context (Flottorp & Aakhus, 2013).…”

“…They recommend studies examining specifi c models and frameworks, which can advise support and stronger evidence base for communication skills training in psychiatry. There are some studies describing professionals' experiences with the implementation process of OD (Aaltonen et al, 2011, Bergström et al, 2017Buus et al, 2017;Florence et al, 2020;Hopper et al, 2020;Schubert et al, 2020;Seikkula et al, 2006;Seikkula et al, 2011;Ulland et al, 2013), but as far as we know, no studies have described participants' experiences with an OD training program. Therefore, the current article aims to explore and describe participants' experiences in an OD training program.…”

Gegenseitige Unterstützung Psychiatrieerfahrener in Krisenunterkünften – ein Scoping Review

“…Jedes der eingeschlossenen CR beschreibt eigene Ziele und Werte, worunter sich einige an der Definition der National Coalition for Mental Health Recovery (NCMHR) orientieren, die in den USA die Implementierung von CR vorantreibt [19]. Häufig wird das Ziel benannt, die Inanspruchnahme von psychiatrischen Rettungsstellen und Krankenhäusern und damit verbundene Belastungen, lange Behandlungsverläufe sowie teilweise auch Kosten zu reduzieren [6,10,[20][21][22]. Einige CR sind strukturell in das Versorgungssystem eingebettet.…”

“…4 online); in 3 von 10 Projekten erfolgen Trainings für Intentional Peer Support (IPS). Einzelne CR richten ihre Arbeit an Konzepten des Need Adapted Treatment (NAT) oder des Wellness Recovery Action Plans (WRAP) aus [21,28].…”