Learn about
Open dialogue

Introducing Open dialogue

Open Dialogue is a mental health intervention that originating from Western Finland, This refreshing approach emphasises collaboration, dialogue and community involvement. Key principles include, immediate help, authenticity, openness, and tolerating uncertainty. The model involves regular network meetings with the Resident, family, and social network, fostering studies suggest OD can reduce hospitalisations 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: Emphasises open communication, listening, and understanding rather than simply diagnosing or labeling.

The process

1. 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.

2. Ongoing Conversations

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

3. Collaborative treatment planning

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.

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.

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.

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.