Open Dialogue as a Human Rights-Aligned Approach

Peter, Sebastian von; Aderhold, Volkmar; Cubellis, Lauren; Bergström, Tomi; Šťastný, Peter; Seikkula, Jaakko; Pūras, Dainius

doi:10.3389/fpsyt.2019.00387

Cited by 77 publications

(45 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A system such as this one, together with the suggested approach to diagnosis and research, would have also been closer to the standards set by the Universal Declaration of Human Rights and the UN Convention on the Rights of People with Disabilities [ 121 ]. As psychiatric survivors point out, responding to a World Psychiatry issue that called for ignoring UN recommendations, the debate on this crucial human rights aspect of the mental health system often takes place without people directly affected by it [ 93 ].…”

Section: Human Rightsmentioning

confidence: 99%

From Mental Health Industry to Humane Care. Suggestions for an Alternative Systemic Approach to Distress

Stupak

Dobroczyński

2021

IJERPH

View full text Add to dashboard Cite

The article proposes a rough outline of an alternative systemic approach to mental health issues and of a more humane mental health care system. It suggests focusing on understanding mental distress as stemming from problems in living, using medications as agents facilitating psychotherapy, or as a last resort and short-term help, according to the principles of harm reduction. It argues that understanding drugs as psychoactive substances and studying the subjective effects they produce could lead to better utilization of medications and improvements in terms of conceptualizing and assessing treatment effects. Qualitative research could be particularly useful in that regard. It also advocates a radical departure from current diagnostic systems and proposes a synthesis of already existing alternatives to be used for both research and clinical purposes. Accordingly, a general idea for an alternative mental health care system, based on a combination of Open Dialogue Approach, Soteria houses, individual and group psychotherapy, cautious prescribing, services helping with drug discontinuation, peer-led services and social support is presented. The proposition could be seen as a first step towards developing a systemic alternative that could replace the currently dominating approach instead of focusing on implementing partial solutions that can be co-opted by the current one.

show abstract

Section: Human Rightsmentioning

confidence: 99%

From Mental Health Industry to Humane Care. Suggestions for an Alternative Systemic Approach to Distress

Stupak

Dobroczyński

2021

IJERPH

View full text Add to dashboard Cite

show abstract

“…Some efforts in standardizing the approach have been made. In Norway, Vigrestad and Hellandshølen (2012) have written a book on how to conduct network meetings based on their own experiences with practicing OD in network meetings. Olson et al (2014) presented 12 fi delity criteria for practicing OD.…”

Section: Developing An Od Training Programmentioning

confidence: 99%

“…An English randomized controlled study is ongoing and examines professionals training in OD compared to professionals learning treatment-as-usual (Razzaque & Stockmann, 2016). OD is practiced in various regions/counties around the world, such as Scandinavia, Germany, the Netherlands, Austria, the United Kingdom, the United States, Australia, and Japan (von Peter et al, 2019).…”

mentioning

confidence: 99%

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

Jacobsen¹,

Grov²,

Østefjells³

et al. 2021

J Psychosoc Nurs Ment Health Serv

View full text Add to dashboard Cite

Open dialogue (OD) is a family-oriented approach that has demonstrated good outcomes in treatment of fi rst-episode psychosis. OD focuses on communication as a joint process of constructing meaning among patients, their social networks, and professionals. The current study investigates how 42 participants experienced a training program in OD. The study comprises a cohort with a longitudinal design. Data were collected by means of semi-structured questionnaires and contained quantitative and qualitative data. Descriptive analysis was performed to analyze quantitative data and thematic analysis for qualitative data. Findings show that participants' learning outcomes and confi dence with using OD with patients, social networks, and professionals increased signifi cantly throughout the training program. Refl ection and role play were essential learning methods. Participants defi ned themselves as in-progress and considered the training program educational, engaging, and varied. Three main themes arose from the data: Developing an OD Training Program, Competence Development "From Novice to Expert, " and Participation and Commitments. [Journal of Psychosocial Nursing and Mental Health Services, xx(x), xx-xx.] O pen dialogue (OD) is a familyoriented, early intervention approach that has demonstrated good outcomes in the treatment of fi rst-episode psychosis (Aaltonen et al., 2011; Bergstrøm et al., 2017; Seikkula et al., 2006; Seikkula et al., 2011). The fi rst OD approach appeared in Western Lapland, Finland, with the primary goal to create a comprehensive, psychotherapeutically oriented model of treatment within the public mental health sector to address the real and changing needs of fi rst-contact schizophrenia patients and their families (Aaltonen et al., 2011). The principles of OD are now incorporated in all psychiatric treatment in the region, regardless of diagnoses (Seikkula, 2003). The OD approach eases the accessibility of mental health

show abstract

“…A recent large‐scale retrospective register‐based study found that young people experiencing distress who were exposed to Open Dialogue had fewer psychiatric emergency treatments and less use of general practitioner services over a ten‐year period (Buus et al ., 2019). Furthermore, the increasing evidence for Open Dialogue and the model’s compatibility with a human rights‐based approach to mental health (von Peter et al ., 2019) is leading to the increased implementation of Open Dialogue internationally.…”

Section: Introductionmentioning

confidence: 99%

Transformation of professional identity: an exploration of psychologists and psychiatrists implementing Open Dialogue

Schubert

Rhodes

Buus

2020

Journal of Family Therapy

View full text Add to dashboard Cite

This study explored how psychologists and psychiatrists working in Australian youth mental health services constructed their professional identity, and whether and how implementing Open Dialogue transformed this. Nine clinicians (psychologists, clinical psychologists and psychiatrists) were interviewed after completing Open Dialogue training. Interviews were subjected to discourse analysis. First, two general pre‐existing discursive professional identity positions were constructed: (i) psychiatrists rhetorically distancing themselves from the medical model as ‘fixers’ of mental illness; and (ii) psychologists and psychiatrists rhetorically embracing their personal identity. Second, participants’ responses about implementing Open Dialogue revealed opportunities and discomforts, including: (i) dialogical approaches offering psychiatrists an alternative identity to ‘fixers’; and (ii) dialogical approaches generating discomfort at the risk of exposing participants’ own vulnerability. Participants’ professional identities comprised contrasting positions. Practitioner points Clinicians’ professional identities comprised contrasting positions Clinicians constructed their professional identities by othering themselves from perceived dominant professional paradigms Clinicians incorporated dialogical approaches into existing clinical work after being exposed to Open Dialogue Clinicians identified Open Dialogue as offering opportunities to construct alternative professional identities Clinicians appeared uncomfortable with dialogical approaches in situations of high risk within risk‐averse settings

show abstract

Open Dialogue as a Human Rights-Aligned Approach

Cited by 77 publications

References 16 publications

From Mental Health Industry to Humane Care. Suggestions for an Alternative Systemic Approach to Distress

From Mental Health Industry to Humane Care. Suggestions for an Alternative Systemic Approach to Distress

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

Transformation of professional identity: an exploration of psychologists and psychiatrists implementing Open Dialogue

Contact Info

Product

Resources

About