An Open Dialogue-informed approach to mental health service delivery: experiences of service users and support networks

J Ment Health. 2021 Aug;30(4):494-499. doi: 10.1080/09638237.2020.1739238. Epub 2020 Mar 13.

Abstract

Background: Open Dialogue (OD) is a needs-based, service-user initiated approach to mental health service delivery that emphasises dialogue, and shared understanding between service users, and their support network.

Aims: The aim of this study was to explore the lived experience of being part of an OD-informed mental health service in Ireland.

Method: Data were collected through semi-structured group interviews and analysed using thematic analysis.

Results: Three primary themes were identified across the data set namely: diversity across practice; unpacking the taken-for-granted and mental health as shared experiences. Participants experienced enhanced communication, improved relationships with mental health staff and developed shared understandings of mental health.

Conclusions: This small-scale implementation demonstrates the received value for service users and their networks of an OD-informed approach within a traditional care pathway. As a relational and collaborative way of working, it requires a shift in clinical practice for mental health staff and service users that is experienced as a welcome change from treatment-as-usual (TAU).

Keywords: Open Dialogue; community mental health; family; network; recovery.

MeSH terms

  • Humans
  • Ireland
  • Mental Disorders* / therapy
  • Mental Health
  • Mental Health Services*