An Open Dialogue-informed approach to mental health service delivery: experiences of service users and support networks. (4th July 2021)

• Record Type: Journal Article
• Authors: Twamley, Iseult; Dempsey, Maria; Keane, Nicola
• Is Part Of: Journal of mental health. Volume 30:Number 4(2021)
• Page Start: 494
• Page End: 499
• Publication Date: 2021-07-04
• Subjects: Open Dialogue -- family -- network -- community mental health -- recovery; Mental health -- Periodicals; Mental health services -- Periodicals; 362.2
• DOI: 10.1080/09638237.2020.1739238
• Languages: English
• ISSNs: 0963-8237

Abstract

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).