OpenDisaninnovative，networkbasedapproachtopsychiatriccarethatwasfirstdevelopedinthe1980sbyJaakkoSeikkula，BirgittaAlakare，MarkkuSutelaandtheirmultidisciplinaryteamatKeropudasHospitalinTornio，Finland。Incontrasttostandardtreatmentsforearlypsychosisandothercrises，OpenDialogueemphasizeslisteningandcollaborationandusesprofessionalknowledgewitha“lighttouch”ratherthanrelyingsolelyonmedicationandhospitalization。Itcomprisesbothawayoforganizingatreatmentsystemandaformoftherapeuticconversation，orDialogicPractice，withinthatsystem。 ThebasicvehicleofOpenDialogueisitsradicallyalteredversionofthetreatmentmeeting，whichtypicallyoccurswithin24hoursoftheinitialcalltothecrisisservice。Thistreatmentmeetinggatherstogethereveryoneconnectedtothecrisis，includingthepersonatthecenter，theirfamilyandsocialnetwork，allprofessionalhelpersandanyoneelsecloselyinvolved。Throughoutthisprocesstherearenoseparatestaffmeetingstotalkaboutthe“case。”Rather，alldiscussionsanddecisionstakeplaceinthetreatmentmeetingwitheveryonepresent。 SeveralKeyPrinciplesofOpenDialogue Ithatbeginswithatreatmentmeetingwithin24hours Athatincludesthegatheringofclinicians，familymembers，friends，coworkersandotherrelevantpersonsforajointdiscussion Ebyencouragingopenconversationandavoidingprematureconclusionsandtreatmentplans Creatingadialogue，senseof“withness”ratherthan“aboutness”andlisteningtowhatpeoplesayratherthanwhatwethinktheymean Withanemphasisonbeingresponsivetotheneedsofthewholeperson，insteadoftryingtoeradicatesymptoms，studieshaveshownthattheOpenDialogueapproachleadstoareductioninhospitalization，theuseofmedicationandrecidivismwhencomparedwithstandardtreatments。Inonefiveyearstudy，forexample，83ofpatientshadreturnedtotheirjobsorstudiesorwerelookingforajob（Seikkulaetal。2006）。Inthesamestudy，77didnothaveanyresidualsymptoms。 Seemoreat：http：www。dialogicpractice。netopendialogueaboutopendialoguesthash。YGpgH8Ns。dpuf
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