“It makes us realize that we have been heard”: experiences with open dialogue in Vermont

Ana Carolina Florence*, Gerald Jordan, Silvio Yasui, Daniela Ravelli Cabrini, Larry Davidson

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)

Abstract

The Open Dialogue approach was developed in Finland as a form of psychotherapy and a way to organize mental health systems. Open Dialogue has drawn global interest leading to adaptations worldwide, including in Vermont-US where it is called Collaborative Network Approach. Our study aimed to investigate the experiences of families who received Collaborative Network Approach in two agencies in Vermont. Qualitative interviews were conducted with 17 persons receiving services. Seven themes emerged: 1) network focus, 2) decision-making, 3) structure of care, 4) use of reflections, 5) medications, 6) hospitalizations, 7) challenges. Our study provides evidence that CNA is well-received, appreciated, and for many people an empowering form of mental health care. The findings suggest that elements of Open Dialogue are highly consistent with the vision for recovery-oriented care, in that they are flexible, person-centered, encourage processes of negotiation, and highlight the importance of family and social supports in care.

Original languageEnglish
Pages (from-to)1771-1783
Number of pages13
JournalPsychiatric Quarterly
Volume92
Issue number4
Early online date27 Aug 2021
DOIs
Publication statusPublished - Dec 2021

Bibliographical note

Funding Information:
Ana Carolina Florence has received a Doctoral award from the Coordenacao de Aperfeicoamento de Nivel Superior - Brasil (CAPES); Postdoctoral funding from the Connecticut Department of Mental Health, and Addiction Services, and Yale Franke Program in Science and the Humanities; consulting fees and travel reimbursements from the Vermont Department of Mental Health. Gerald Jordan has received Doctoral and Postdoctoral training awards from the Canadian Institutes of Health Research Doctoral, Fellowship, and Strategies for Patient Oriented Research programmes; the Fonds de Recherche Santé – Québec Doctoral and Postdoctoral programmes; the Department of Psychiatry at McGill University; and the Yale Franke Program in Science and Humanities. Larry Davidson has received funding from the Connecticut Department of Mental Health and Addiction Services and the Vermont Department of Mental Health. Silvio Yasui and Daniela Cabrini report no conflicts of interest.

Publisher Copyright:
© 2021, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

Keywords

  • Families
  • Mental health and illness
  • Open dialogue
  • Psychosis
  • Recovery
  • Users’ experiences

ASJC Scopus subject areas

  • Psychiatry and Mental health

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