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Open dialogue

Introducing Open dialogue

Open Dialogue is a mental health intervention that originating from Western Finland, This refreshing approach emphasizes collaboration, dialogue and community involvement. Key principles include, immediate help, authenticity, openness, and tolerating uncertainty. The model involves regular network meetings with the Guest, family, and social network, fostering studies suggest OD can reduce hospitalizations and relapse rates, improve social functioning, and increase return to work/study.

Waterlily aims to integrate OD into its ethos, focusing on hope, purpose, and connection. Our workforce will have Open Dialogue training with a significant proportion of members with lived experience to support recovery. 

Principles of Open dialogue

  • Immediate Help: Individuals in crisis receive support quickly, ideally within 24 hours of a request for help.

  • Social Network Involvement: Families and significant others are actively involved in the dialogue, recognizing that support systems are crucial to recovery.

  • Collaborative Approach: All parties, including the individual, family members, and professionals, engage in an open conversation where everyone’s perspectives are valued.

  • Non-Hierarchical Structure: The model promotes equality among participants, fostering a sense of shared responsibility in the decision-making process.

  • Focus on Dialogue: Emphasizes open communication, listening, and understanding rather than simply diagnosing or labeling.

The process

The process

1.

1.

1.

Initial Meeting

Initial Meeting

The first meeting includes the individual in crisis, their family, and a team of professionals. The focus is on creating a safe space for dialogue.

The first meeting includes the individual in crisis, their family, and a team of professionals. The focus is on creating a safe space for dialogue.

2.

2.

2.

Ongoing Conversations

Ongoing Conversations

Regular meetings are held to discuss the individual’s experiences, the family’s perspectives, and any developments in the situation.

Regular meetings are held to discuss the individual’s experiences, the family’s perspectives, and any developments in the situation.

3.

3.

3.

Collaborative treatment planning

Collaborative treatment planning

Treatment plans are developed collectively, ensuring that the individual’s voice remains central to their care.

Treatment plans are developed collectively, ensuring that the individual’s voice remains central to their care.

Potential benefits of the Open Dialogue Model

Enhanced Engagement

Individuals and families feel more involved in the treatment process, leading to increased motivation and commitment to recovery.

Enhanced Engagement

Individuals and families feel more involved in the treatment process, leading to increased motivation and commitment to recovery.

Enhanced Engagement

Individuals and families feel more involved in the treatment process, leading to increased motivation and commitment to recovery.

Enhanced Engagement

Individuals and families feel more involved in the treatment process, leading to increased motivation and commitment to recovery.

Improved Relationships

By fostering open communication, the model strengthens relationships among family members, friends, and healthcare providers, which can enhance support systems.

Improved Relationships

By fostering open communication, the model strengthens relationships among family members, friends, and healthcare providers, which can enhance support systems.

Improved Relationships

By fostering open communication, the model strengthens relationships among family members, friends, and healthcare providers, which can enhance support systems.

Improved Relationships

By fostering open communication, the model strengthens relationships among family members, friends, and healthcare providers, which can enhance support systems.

Holistic Understanding

The emphasis on dialogue allows for a deeper understanding of the individual’s experiences and context, leading to more tailored and effective interventions.

Holistic Understanding

The emphasis on dialogue allows for a deeper understanding of the individual’s experiences and context, leading to more tailored and effective interventions.

Holistic Understanding

The emphasis on dialogue allows for a deeper understanding of the individual’s experiences and context, leading to more tailored and effective interventions.

Holistic Understanding

The emphasis on dialogue allows for a deeper understanding of the individual’s experiences and context, leading to more tailored and effective interventions.

Reduced Stigmatization

The non-hierarchical nature of the model helps diminish the stigma often associated with mental health issues, promoting a culture of acceptance and understanding.

Reduced Stigmatization

The non-hierarchical nature of the model helps diminish the stigma often associated with mental health issues, promoting a culture of acceptance and understanding.

Reduced Stigmatization

The non-hierarchical nature of the model helps diminish the stigma often associated with mental health issues, promoting a culture of acceptance and understanding.

Reduced Stigmatization

The non-hierarchical nature of the model helps diminish the stigma often associated with mental health issues, promoting a culture of acceptance and understanding.

Better Outcomes

Research indicates that Open Dialogue can lead to lower rates of hospitalization, reduced use of medication, and improved overall mental health outcomes.

Better Outcomes

Research indicates that Open Dialogue can lead to lower rates of hospitalization, reduced use of medication, and improved overall mental health outcomes.

Better Outcomes

Research indicates that Open Dialogue can lead to lower rates of hospitalization, reduced use of medication, and improved overall mental health outcomes.

Better Outcomes

Research indicates that Open Dialogue can lead to lower rates of hospitalization, reduced use of medication, and improved overall mental health outcomes.

Empowerment

Individuals are encouraged to take an active role in their treatment, fostering a sense of agency and empowerment in their recovery journey.

Empowerment

Individuals are encouraged to take an active role in their treatment, fostering a sense of agency and empowerment in their recovery journey.

Empowerment

Individuals are encouraged to take an active role in their treatment, fostering a sense of agency and empowerment in their recovery journey.

Empowerment

Individuals are encouraged to take an active role in their treatment, fostering a sense of agency and empowerment in their recovery journey.

Flexibility and Responsiveness

The model’s adaptability allows it to respond to the unique needs of each individual and family, making it a versatile approach to mental health care.

Flexibility and Responsiveness

The model’s adaptability allows it to respond to the unique needs of each individual and family, making it a versatile approach to mental health care.

Flexibility and Responsiveness

The model’s adaptability allows it to respond to the unique needs of each individual and family, making it a versatile approach to mental health care.

Flexibility and Responsiveness

The model’s adaptability allows it to respond to the unique needs of each individual and family, making it a versatile approach to mental health care.

Community Integration

By involving the social network, the model promotes community support and integration, reducing isolation and fostering a sense of belonging.

Community Integration

By involving the social network, the model promotes community support and integration, reducing isolation and fostering a sense of belonging.

Community Integration

By involving the social network, the model promotes community support and integration, reducing isolation and fostering a sense of belonging.

Community Integration

By involving the social network, the model promotes community support and integration, reducing isolation and fostering a sense of belonging.

Open dialogue: the journey ahead

In summary, the Open Dialogue model is a compassionate and collaborative approach to mental health care that prioritizes relationships, communication, and community involvement. Waterlily believes this approach will reduce readmissions to hospital, improve quality of life and outcomes, in line with current evidence and research this should include reduced medication.

They will use a therapeutic community model with democracy, reality confrontation, and communality at its core. Waterlily anticipates OD will reduce hospital admissions, medication use, and improve quality of life. Reduction in  psychiatric symptoms,  reduced relapse, and improvements in relationships, housing  and opportunities for work.

The Open Dialogue model will work as the active intervention, underpinned by a day-to-day ethos of Therapeutic community. We believe the community itself becomes a primary therapeutic tool. Guests participate in group discussions, engage in daily activities, and can take on roles that contribute to the community’s well-being. This fosters a sense of belonging, accountability, and empowerment, encouraging individuals to take an active role in their own recovery. The approach is rooted in the belief that personal growth occurs most effectively within a supportive, structured, and collaborative environment

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© 2025 Waterlily Care. All rights reserved.

Registered office:

26 High Street Rickmansworth, Herts, WD3 1ER

© 2025 Waterlily Care. All rights reserved.

Registered office:

26 High Street Rickmansworth, Herts, WD3 1ER

© 2025 Waterlily Care. All rights reserved.

Registered office:
26 High Street Rickmansworth, Herts, WD3 1ER

© 2025 Waterlily Care. All rights reserved.

Registered office:

26 High Street Rickmansworth, Herts, WD3 1ER