The above image must be cropped to 710px wide. We recommend a height of 75px to 200px; please keep the height consistent if you use this layout for other pages of your site.

Preparing Open Dialogue Approach for Implementation in the U.S.

Recent Announcements


We are very pleased to announce that a substantial donation by an Atlanta based donor has enabled The Foundation for Excellence in Mental Health Care (FEMHC) to provide the UCSD team with funding for the Open Dialogue pilot project in Atlanta for an additional year. This generous grant will allow us to continue to implement the pilot project with our colleagues at Emory University Medical School, who have also received funding. Dr. Douglas Ziedonis (Principal Investigator) and his UCSD team will provide organizational and clinical training in the Open Dialogue approach to a team led by Dr. Robert Cotes and Dr. Keith Wood at Grady Memorial Hospital. The pilot study will provide clinical care for 20-24 individuals and their families. Fidelity tools such as The Key Elements of Dialogic Practice in Open Dialogue: Fidelity Criteria, The Open Dialogue Therapy-based Fidelity Scale and The 10 Organizational Criteria, that were developed in the first three years of the grant, will be used in the program. If the outcome data and program implementation from this project are effective, nationwide adoption of the Open Dialogue approach will be more attractive and more viable than ever before.

Check out our first version of The Psychotherapy-Focused Fidelity Chapter entitled "The Key Elements of Dialogic Practice in Open Dialogue: Fidelity Criteria". The intent of this document is to help support the development of an Open Dialogue practice and way of relating in teams that can be used for “self-reflection” by an individual practitioner or whole team participating in Open Dialogue meetings, for supervision and training purposes, and for helping in systematic research.  Please send your comments and feedback to Dialogic.Practice@umassmed.edu.


A multi-disciplinary team at the University of California San Diego (UCSD) led by Dr. Douglas Ziedonis and collaborating with many clinical / research groups around the world, including China, Denmark, Finland, Italy, Japan, Latvia, Lithuania, Norway, Poland and the United Kingdom. A primary focus of the work is to study / develop tools for training and research on the Finnish “Open Dialogue” approach and to work to adapt and implement in the U.S. and with colleagues around the world. Materials developed are translated into 7 languages.

Open Dialogue (OD) is an innovative, language-based, network approach to acute psychiatric crises developed by Jaakko Seikkula, Birgitta Alakare, Jukka Aaltonen and their multi-disciplinary team at Keropudas Hospital in Tornio, Finland. This psychosocial intervention has two components: (1) a community-based, integrated treatment system that engages families and social networks, and (2) a distinct and unique form of dialogues within open psychiatric meetings. The approach has been effective in reducing symptoms of psychosis, leading to fewer and shorter hospitalizations, reduced neuroleptic medication dosage, greater improvements in functioning and improved likelihood of employment (Seikkula et al. 2006).

There is a strong convergence between Open Dialogue and recovery-oriented principles and practices. Both embrace recovery as a genuine process of revival and resiliency, which is grounded in hope, empowerment, and a supportive network. Open Dialogue creates democratic partnerships between professionals and the people they serve to restore productive and meaningful lives. Both the recovery perspective and Open Dialogue are reinforced by the knowledge that people with mental health and addiction problems can and do persevere and play meaningful roles in society.

Research Infrastructure Development Project:

Open DialogueLaunched in September 2012 and funded by the Foundation For Excellence in Mental Health Care, the UMMS/Finland OD initiative will develop practical tools for clinicians, program leaders, and researchers in the United States – and throughout the world – who hope to further investigate the OD approach.

The collaboration will produce several products to help with adaptation of the Open Dialogue model, including:

1.  A psychotherapy-focused manual and fidelity tool for clinical interactions with individuals and families

2.  A system-focused manual and fidelity tool for assessing program/organizational implementation.

Related links
Video – Dr. Christopher Gordon and Brenda Miele Soares, MSW give an Open Dialogue presentation entitled: New approaches to mental health services 
Video – Dr. Jaakko Seikkula speaks about Open Dialogue 
Madness Radio: Open Dialogue for Psychosis w/ Mary Olson 
Institute for Dialogic Practice, Haydenville, MA 
Open Dialogical Practices 
National Empowerment Center - Dialogical Recovery from Monological Medicine

Related references 
Aaltonen, J., Seikkula, J., & Lehtinen, K. (2011). Comprehensive open-dialogue approach I: Developing a comprehensive culture of need-adapted approach in a psychiatric public health catchment area the Western Lapland Project. Psychosis, 3, 179 – 191.

Olson, M, Seikkula, J. & Ziedonis, D. (2014). The key elements of dialogic practice in Open Dialogue. The University of Massachusetts Medical School. Worcester, MA.

Seikkula, J., Aaltonen, J., Alakare, B., & Haarakangas, K. (2006). Five-year experience of first-episode nonaffective psychosis in open-dialogue model. Psychotherapy Research, 16(2), 214-228.

Seikkula, J., Alakare, B., & Aaltonen, J. (2011). The comprehensive open-dialogue approach(II). Long-term stability of acute psychosis outcomes in advanced community care: The Western Lapland Project. Psychosis, 3, 1–13.

Seikkula, J. & Olson, M. (2003). The open dialogue approach: Its poetics and micropolitics. Family Process, 42, 403-418.

UCSD Project Team Leadership and Contact: 
Douglas Ziedonis, MD, MPH,
Principal Investigator - dziedonis@ucsd.edu

USA Collaborators / Partners:
Ippolytos Kalofonos, MD, PhD, MPH
Christopher Gordon, MD
Eileen Small, MSW
Robert Cotes, MD
Keith Wood, PhD
Daniel Fisher, MD, PhD
Daniel Breslin, MD
Kathleen Biebel, PhD
Zlatina Kostova, PhD
Celine Larkin, PhD
International Open Dialogue Colleagues
China
Yanli Luo, MD

Denmark
Bjarne Vind Sorensen, PhD

Italy
Raffaella Pocobello, PhD
Giuseppe Salamina, MD

Japan

Yasuhiko Murakami, PhD
Yukako Shinozuka, MA

Latvia
Liena Grauda, MD
Elmars Rancans, MD, PhD
Maris Taube MD, PhD

Lithuania
Ramune Mazaliauskiene, MD
Vesta Steibliene, PhD

Poland
Regina Bisikiewicz
Michal Klapcinski

United Kingdom
Mark Steven Hopfenbeck, PhD
Russell Razzaque, MD
Stephen Pilling, PhD

Preparar el Enfoque del Diálogo Abierto para Implementarse en los EE.UU.

Véase nuestra primera versión de la capítula de Fidelidad con Enfoque en Psicoterapia, titulada "Los elementos Claves de Práctica Diabólica en Diálogo Abierto: Criterios de Fidelidad". El propósito de este documento es apoyar el desarrollo de una práctica de Diálogo Abierto y una manera de relacionarse en equipos que pueda ser usada para 'auto-reflexión' por un profesional individual o un equipo entero que participan en reuniones de Diálogo Abierto, para fines de supervisión y entrenamiento, y para facilitar investigación sistemática. Favor de enviar sus comentarios a

Dialogic.Practice@umassmed.edu.


Diálogo Abierto (DA) es un enfoque innovador, de red y basada en lenguaje a las crisis agudas psiquiátricas, desarrollado por Jaakko Seikkula, Birgitta Alakare, Jukka Aaltonen y su equipo multidisciplinario en el Hospital Keropudas en Tornio, Finlandia. Esta intervención psico-social tiene dos componentes: (1) un sistema de tratamiento integral y basada en la comunidad, que entabla a familias y redes sociales, y (2) una forma singular y distinta de diálogos dentro de reuniones psiquiátricas. Este enfoque ha sido en reducir los seintomas de psicosis, con el efecto de hospitalizaciones menos frecuentes y más cortas, dosages reducidas de medicación neuroléptica, mejoras más notables en el funcionar y probabilidades mayores de empleo (Seikkula et al 2006).

Hay una convergencia fuerte entre Diálogo Abierto y los principios y prácticas orientados a la recuperación. Los dos afirman la recuperación como un proceso verdadero de resurgimiento y resistencia, basado en esperanza, fortalecimiento y una red comprensiva. Dialogo Abierto crea alianzas democráticas entre profesionales y pas personas a que sirven, para restaurar vidas productivas y que tengan sentido. Así la perspectiva de recuperación como el Diálogo Abierto se fortalecen sabiendo que las personas con problemas de salud mental y de adicción pueden perseverar y jugar un papel significativo en la sociedad.

Proyecto de Desarrollar Infraestructura de Investigación:

Diálogo Abierto Introducido en setiembre 2012 y financiado por la Fundación para Excelencia en Cuidad de Salud Mental, la iniciativa UNNS/Finland OD desarrollará instrumentos prácticos para profesionales, directores de programas e investigadores en los Estados Unidos - y por todo el mundo - que tengan la esperanza de investigar más a fondo el enfoque DA.

La colaboración producirá varios productos que faciliten la adopción del modelo de Diálogo Abierto, entre ellos:

1. Un manual de enfoque de psicoterapia e instrument de fidelidad para interacciones con individuos y familias.

2. Un manual de enfoque en sistema e instrumento de fidelidad para evaluar la implementación de programas y organizaciones.


Lazos relacionados
Video – Dr. Christopher Gordon and Brenda Miele Soares, MSW give an Open Dialogue presentation entitled: New approaches to mental health services
Video – Dr. Jaakko Seikkula habla de Diálogo Abierto
Radio Locura: Diálogo Abierto para Psicosis c/ Mary Olson
Instituto para Práctica Dialógica, Haydenville, MA
Prácticas de Diálogo Abierto
Centro Nacional de Fortalecimiento - Recuperación Dialógica de Medicina Monológica

Referencias Relacionadas
Aaltonen, J., Seikkula, J., & Lehtinen, K. (2011). Enfoque comprensivo de diálogo abierto. I: Desarrollar una cultura comprensiva de enfoque de adapción a necesidad en el área de servicio de salud psiquiátrica pública de Proyecto Western Lapland Project. Psychosis, 3, 179 – 191.

Olson, M, Seikkula, J. & Ziedonis, D. (2014). Los elementos claves de práctica dialógicas en Diálogo Abierto. Facultad de Medicina de la Universidad de Massachusetts. Worcester, MA.

Seikkula, J., Aaltonen, J., Alakare, B., & Haarakangas, K. (2006). Experiencia de cinco años de primer episodio de psicosis no afectiva en modelo de dialogue abierto Psychotherapy Research, 16(2), 214-228.

Seikkula, J., Alakare, B., & Aaltonen, J. (2011). Enfoque comprensivo de dialogue abierto (II). Estabilidad de largo plazo de resultados de psicosis aguda en cuidado de comunidad avanzado. The Western Lapland Project. Psychosis, 3, 1–13.

Seikkula, J. & Olson, M. (2003). Enfoque de Diálogo Abierto: su Poesía y micropolítica. Family Process, 42, 403-418.

UCSD Project Team Leadership and Contact: 
Douglas Ziedonis, MD, MPH,
Principal Investigator - dziedonis@ucsd.edu

USA Collaborators / Partners:
Ippolytos Kalofonos, MD, PhD, MPH
Christopher Gordon, MD
Eileen Small, MSW
Robert Cotes, MD
Keith Wood, PhD
Daniel Fisher, MD, PhD
Daniel Breslin, MD
Kathleen Biebel, PhD
Zlatina Kostova, PhD
Celine Larkin, PhD
International Open Dialogue Colleagues
China
Yanli Luo, MD

Denmark
Bjarne Vind Sorensen, PhD

Italy
Raffaella Pocobello, PhD
Giuseppe Salamina, MD

Japan

Yasuhiko Murakami, PhD
Yukako Shinozuka, MA

Latvia
Liena Grauda, MD
Elmars Rancans, MD, PhD
Maris Taube MD, PhD

Lithuania
Ramune Mazaliauskiene, MD
Vesta Steibliene, PhD

Poland
Regina Bisikiewicz
Michal Klapcinski

United Kingdom
Mark Steven Hopfenbeck, PhD
Russell Razzaque, MD
Stephen Pilling, PhD

让“开放式对话”技术在美国运用起来

敬请留意我们新发表的《心理治疗-聚焦真实性(第一版)》里的《开放式对话实践中的关键要素:真实性标准》一文。
此文的目的在于为开放式对话实践的发展提供支持,为参与开放式对话的个体或团队将其用于”自我反思”、督导或训练,也可以用于系统研究。
请把您的反馈意见发送到 Dialogic.Practice@umassmed.edu.


开放式对话(Open Dialogue, OD)是由芬兰Tornio市Keropudas医院的Jaakko Seikkula, Birgitta Alakare, Jukka Aaltonen 等领导的多学科团队研发出来的一种创新的、基于对话的、社群网络性的应对急性精神危机的方法。

这种心理社会干预有2个组成部分:(1)以社区为基础的纳入家庭和社群网络的整合治疗系统;(2)采用对话形式的独特的开放的精神科会谈。

该方法可有效减少精神疾病症状、降低住院次数和缩短住院天数、减少抗精神病药物剂量、促进功能恢复,提高就业机会。

开放式对话与基于康复的治疗原则和实践极为相似,两者都是把康复当做患者精神再生和恢复的过程,且都建立在希望、强化和支持性社群网络基础上;开放式对话在专业人员和服务对象之间建立一种民主的合作关系,有助于后者恢复社会功能和有意义的生活。在有精神健康问题和成瘾问题的人群中证实了两者能够持续地发挥作用。

基础研究发展项目:

2012年9月颁布的,由精神卫生保健卓越基金会资助的“麻省大学医学院/芬兰OD倡议”将为美国的临床医生、项目负责人、研究人员和世界各地希望进一步研究OD方法的人提供一种实用工具。

双方(麻省大学医学院/芬兰)的合作致力于对开放式对话模型进行一些适应性的修订,包括:

1.一种基于心理治疗的用于个体和家庭临床互动的手册和真实性工具

2.一种基于系统的用于评估项目/组织实施的手册和真实性工具

 


相关链接

Video – Dr. Christopher Gordon and Brenda Miele Soares, MSW give an Open Dialogue presentation entitled: New approaches to mental health services
视频-Jaakko Seikkula博士关于开放式对话的演讲
疯狂广播:精神疾病的开放式对话 (Mary Olson)
麻省Haydenville的对话实践研究所
开放式对话实践
国家授权中心-独立医学的对话式康复

相关链接

Aaltonen, J., Seikkula, J., & Lehtinen, K. (2011). Comprehensive open-dialogue approach I: Developing a comprehensive culture of need-adapted approach in a psychiatric public health catchment area the Western Lapland Project. Psychosis, 3, 179 – 191.

Olson, M, Seikkula, J. & Ziedonis, D. (2014). The key elements of dialogic practice in Open Dialogue. The University of Massachusetts Medical School. Worcester, MA.

Seikkula, J., Aaltonen, J., Alakare, B., & Haarakangas, K. (2006). Five-year experience of first-episode nonaffective psychosis in open-dialogue model. Psychotherapy Research, 16(2), 214-228.

Seikkula, J., Alakare, B., & Aaltonen, J. (2011). The comprehensive open-dialogue approach(II). Long-term stability of acute psychosis outcomes in advanced community care: The Western Lapland Project. Psychosis, 3, 1–13.

Seikkula, J. & Olson, M. (2003). The open dialogue approach: Its poetics and micropolitics. Family Process, 42, 403-418.

UCSD Project Team Leadership and Contact: 
Douglas Ziedonis, MD, MPH,
Principal Investigator - dziedonis@ucsd.edu

USA Collaborators / Partners:
Ippolytos Kalofonos, MD, PhD, MPH
Christopher Gordon, MD
Eileen Small, MSW
Robert Cotes, MD
Keith Wood, PhD
Daniel Fisher, MD, PhD
Daniel Breslin, MD
Kathleen Biebel, PhD
Zlatina Kostova, PhD
Celine Larkin, PhD
International Open Dialogue Colleagues
China
Yanli Luo, MD

Denmark
Bjarne Vind Sorensen, PhD

Italy
Raffaella Pocobello, PhD
Giuseppe Salamina, MD

Japan

Yasuhiko Murakami, PhD
Yukako Shinozuka, MA

Latvia
Liena Grauda, MD
Elmars Rancans, MD, PhD
Maris Taube MD, PhD

Lithuania
Ramune Mazaliauskiene, MD
Vesta Steibliene, PhD

Poland
Regina Bisikiewicz
Michal Klapcinski

United Kingdom
Mark Steven Hopfenbeck, PhD
Russell Razzaque, MD
Stephen Pilling, PhD

Preparazione dell’approccio del Dialogo Aperto per la sua realizzazione negli Stati Uniti

Consulta la prima versione del nostro articolo intitolato "Gli Elementi Chiave Della Pratica Dialogica Nel Dialogo Aperto: Criteri Di Fedelta"Lo scopo di questo documento è quello di sostenere lo sviluppo di una pratica del Dialogo Aperto per tutte le équipe che partecipano a incontri di Dialogo Aperto, ai fini della supervisione e della formazione, e per aiutarle nella ricerca sistematica. Queste équipe possono anche essere utilizzate per la "autoriflessione" dei singoli professionisti interessati. Per commenti e feedback si prega di scrivere a dialogic.practice@umassmed.edu.


Il Dialogo Aperto (DA) e un approccio innovativo, basato sul dialogo e sul contesto sociale per gestire episodi psichiatrici acuti. E' stato originariamente sviluppato da Jaakko Seikkula, Birgitta Alakare, Jukka Aaltonen e il loro gruppo multidisciplinare nell'ospedale Keropudas a Tornio, Finlandia. Questo intervento psicologico ha due componenti di base: (1) un sistema di trattamento comunitario integrato che coinvolge famiglie e reti sociali e (2) un'unica forma di dialogo durante incontri psichiatrici aperti. E' stato dimostrato che questa pratica risulta efficace nel ridurre i sintomi psicotici, i periodi di ricovero, l'uso di medicamenti neurolettici e contribuisce al funzionamento lavorativo. (Seikkula et al. 2006).

Esiste una netta differenza tra il Dialogo Aperto e tra altre pratiche orientate all'ospedalizzazione. Tutte e due gli approcci percepiscono il ricovero come un processo genuino di recupero che e' basato sulla speranza, empowerment e un network di supporto. Il Dialogo Aperto crea un'equa relazione tra i professionisti della salute e le persone che loro aiutano per ricostruire e ritrovare una vita significativa. Sia la prospettiva di ricovero, sia il Dialogo Aperto si basano sulla consapevolezza che le persone con problemi di salute mentale e di dipendenze hanno comunque un ruolo significativo nella societa'.

Struttura del Pogetto di Ricerca:

I Sette Principi Fondamentali del Dialogo ApertoIniziata a Settembre 2012 e finanziata dalla "Foundation for Excellence in Mental Health Care", l'iniziativa del Dialogo Aperto sviluppera' degli strumenti pratici per terapeuti clinici, responsabili di pogetti e ricercatori - negli Stati Uniti e nel resto del mondo - che hanno come obiettivo di investigare ulteriormente la pratica del Dialogo Aperto.

La collaborazione produrra’ diversi strumenti per l’implementazione del Dialogo Aperto inclusi:

1. Manuale di psicoterapia e strumento di fedelta' per interventi clinici con individui e famiglie.

2. Manuale sistemico e criteri di fedelta' per valutare implementazioni organizzativi.

Link Correlati
Video – Dr. Christopher Gordon and Brenda Miele Soares, MSW give an Open Dialogue presentation entitled: New approaches to mental health services
Video – Dr. Jaakko Seikkula speaks about Open Dialogue 
Madness Radio: Open Dialogue for Psychosis w/ Mary Olson 
Institute for Dialogic Practice, Haydenville, MA 
Open Dialogical Practices 
National Empowerment Center - Dialogical Recovery from Monological Medicine

Bibliografia
Aaltonen, J., Seikkula, J., & Lehtinen, K. (2011). Comprehensive open-dialogue approach I: Developing a comprehensive culture of need-adapted approach in a psychiatric public health catchment area the Western Lapland Project. Psychosis, 3, 179 – 191. 

Seikkula, J., Aaltonen, J., Alakare, B., & Haarakangas, K. (2006). Five-year experience of first-episode nonaffective psychosis in open-dialogue model. Psychotherapy Research, 16(2), 214-228.

Seikkula, J., Alakare, B., & Aaltonen, J. (2011). The comprehensive open-dialogue approach(II). Long-term stability of acute psychosis outcomes in advanced community care: The Western Lapland Project. Psychosis, 3, 1–13.

Seikkula, J. & Olson, M. (2003). The open dialogue approach: Its poetics and micropolitics. Family Process, 42, 403-418.

UCSD Project Team Leadership and Contact: 
Douglas Ziedonis, MD, MPH,
Principal Investigator - dziedonis@ucsd.edu

USA Collaborators / Partners:
Ippolytos Kalofonos, MD, PhD, MPH
Christopher Gordon, MD
Eileen Small, MSW
Robert Cotes, MD
Keith Wood, PhD
Daniel Fisher, MD, PhD
Daniel Breslin, MD
Kathleen Biebel, PhD
Zlatina Kostova, PhD
Celine Larkin, PhD
International Open Dialogue Colleagues
China
Yanli Luo, MD

Denmark
Bjarne Vind Sorensen, PhD

Italy
Raffaella Pocobello, PhD
Giuseppe Salamina, MD

Japan

Yasuhiko Murakami, PhD
Yukako Shinozuka, MA

Latvia
Liena Grauda, MD
Elmars Rancans, MD, PhD
Maris Taube MD, PhD

Lithuania
Ramune Mazaliauskiene, MD
Vesta Steibliene, PhD

Poland
Regina Bisikiewicz
Michal Klapcinski

United Kingdom
Mark Steven Hopfenbeck, PhD
Russell Razzaque, MD
Stephen Pilling, PhD

アメリカにおけるオープンダイアローグアプローチの実施へ向けて

精神療法に着目して実践基準について述べた論文「オープンダイアローグにおける対話実践の基本要素 -よき実践のための基準-」の初版を新しく公開しましたので、是非ご一読ください。本論文の趣旨は、オープンダイアローグの実践およびチームでの関わり方の発展を促すことにあります。論文で述べられている基本要素は、オープンダイアローグのミーティングに参加する実践家個人やチーム全体による「セルフ-リフレクション」のために使用することができます。また、スーパーヴィジョンや研修のために使用することもできますし、体系的な調査研究の手助けにもなるでしょう。論文に対する意見とフィードバックはこちらのアドレス(Dialogic.Practice@umassmed.edu)へお寄せください。


オープンダイアローグ(Open Dialogue)は、急性の精神病的危機に対する革新的な、言語に基づくネットワークアプローチです。このアプローチは、フィンランドのトルニオにあるケロプダス病院で、Jaakko Seikkula、Birgitta Alakare、Jukka Aaltonenらとその多職種チームによって開発されました。この心理社会的な取り組みには二つの構成要素があります。まず、(1)家族と社会ネットワークを巻き込んだ、コミュニティを基盤とする統合的治療システム、そして(2)オープンな治療ミーティング内での明確かつユニークな対話の形式です。このアプローチは、精神病的症状を軽減させるうえで効果を示してきました。そして、入院患者数の軽減および入院期間の短縮、精神安定剤の服薬量の低下、個人の生活能力の向上、雇用の可能性の増大へとつながりました(Seikkula et al. 2006)。

オープンダイアローグは、リカバリー志向の原則と実践(recovery-oriented principles and practices)によく似ています。というのも、その両方が回復とレジリエンスの真のプロセスとして、リカバリーという視点を含んでいるからです。そのプロセスは、希望、エンパワメント、そして支援ネットワークによって支えられています。オープンダイアローグでは専門職と人々の間で民主的なパートナーシップが取り結ばれます。専門職は、人々が生産的で意味のある生活を取り戻すために彼らと関わります。リカバリーの視点とオープンダイアローグの実践はどちらも、メンタルヘルスの問題や依存症を抱える人たちは社会のなかで生き抜き、重要な役割を担うことができるのだという認識によって強化されるのです。

研究基盤の発展に向けたプロジェクト:

アメリカでのオープンダイアローグ実施を目指したUMMS/フィンランドの取り組みは、メンタルヘルスにおける卓越した研究のための財団(Foundation For Excellence in Mental Health Care)からの支援を受け、2012 年の9月に開始しました。私たちは、オープンダイアローグアプローチをさらに探求したいと望むアメリカ、そして世界中の臨床家やプログラムリーダー、研究者のために、その実践的なツールを発展させていくつもりです。

この共同研究を通じて、オープンダイアローグモデルの導入を促進させるような成果が期待できるでしょう。例えば、以下のような成果です。

1.個人とその家族の臨床的関わりへ向けて―精神療法に焦点を当てたマニュアルと実践ツール

2.組織での実施やプログラムの評価へ向けて―システムに焦点を当てたマニュアルと実践ツール

リンク集

Video – Dr. Christopher Gordon and Brenda Miele Soares, MSW give an Open Dialogue presentation entitled: New approaches to mental health services
Video -Jaakko Seikkula氏によるオープンダイアローグの紹介
Madness Radio: Open Dialogue for Psychosis w/ Mary Olson 
Institute for Dialogic Practice, Haydenville, MA 
Open Dialogical Practices 
National Empowerment Center - Dialogical Recovery from Monological Medicine

関連文献
Aaltonen, J., Seikkula, J., & Lehtinen, K. (2011). Comprehensive open-dialogue approach I: Developing a comprehensive culture of need-adapted approach in a psychiatric public health catchment area the Western Lapland Project. Psychosis, 3, 179 – 191.

Olson, M, Seikkula, J. & Ziedonis, D. (2014). The key elements of dialogic practice in Open Dialogue. The University of Massachusetts Medical School. Worcester, MA.(「オープンダイアローグにおける対話実践の基本要素 」、山森裕毅・篠塚友香子訳、2015年)

Seikkula, J., Aaltonen, J., Alakare, B., & Haarakangas, K. (2006). Five-year experience of first-episode nonaffective psychosis in open-dialogue model. Psychotherapy Research, 16(2), 214-228.

Seikkula, J., Alakare, B., & Aaltonen, J. (2011). The comprehensive open-dialogue approach(II). Long-term stability of acute psychosis outcomes in advanced community care: The Western Lapland Project. Psychosis, 3, 1–13.

Seikkula, J. & Olson, M. (2003). The open dialogue approach: Its poetics and micropolitics. Family Process, 42, 403-418.

UCSD Project Team Leadership and Contact: 
Douglas Ziedonis, MD, MPH,
Principal Investigator - dziedonis@ucsd.edu

USA Collaborators / Partners:
Ippolytos Kalofonos, MD, PhD, MPH
Christopher Gordon, MD
Eileen Small, MSW
Robert Cotes, MD
Keith Wood, PhD
Daniel Fisher, MD, PhD
Daniel Breslin, MD
Kathleen Biebel, PhD
Zlatina Kostova, PhD
Celine Larkin, PhD
International Open Dialogue Colleagues
China
Yanli Luo, MD

Denmark
Bjarne Vind Sorensen, PhD

Italy
Raffaella Pocobello, PhD
Giuseppe Salamina, MD

Japan

Yasuhiko Murakami, PhD
Yukako Shinozuka, MA

Latvia
Liena Grauda, MD
Elmars Rancans, MD, PhD
Maris Taube MD, PhD

Lithuania
Ramune Mazaliauskiene, MD
Vesta Steibliene, PhD

Poland
Regina Bisikiewicz
Michal Klapcinski

United Kingdom
Mark Steven Hopfenbeck, PhD
Russell Razzaque, MD
Stephen Pilling, PhD

Atvērta dialoga pieejas sagatavošana ieviešanai ASV

Pēdējie Jaunumi

Laipni aicināti iepazīstieties ar nesen izdotā raksta “Uz psihoterapiju orientēta precizitāte” pirmo versiju: “Dialoga prakses pamata elementi atvērta dialoga tehnikas ietvaros: precizitātes kritēriji”. Šī dokumenta izveidošanas mērķis ir palīdzēt atbalstīt atvērta dialoga praksi un sadarbību grupā, kuru, savukārt, var izmantot individuālajā pašrefleksijas praksē vai arī, visai komandai piedaloties atvērta dialoga sesijās, kā arī supervīzijās, apmācības procesa realizēšanā un palīdzības sniegšanā sistemātiskos pētījumos. Lūdzam sūtīt jūsu komentārus un atsauksmes uz e pastu: Dialogic.Practice@umassmed.edu.

 
Atvērts dialogs (AD) ir inovatīva, uz valodu balstīta sadarbības veida pieeja intervencei akūtu krīžu gadījumos psihiatrijā, ko attīstīja Jaakko Seikkula, Birgitta Alakare, Jukka Aaltonen un viņu multidisciplināra komanda Somijas Tornio pilsētas Keropudas slimnīcā. Šai psihosociālai intervencijai ir divas komponentes: (1) sabiedrībā balstīta, integrēta ārstēšanas sistēma, kurā iesaista ģimenes locekļus un personas sociālās vides pārstāvjus; un (2) atsevišķa unikāla terapeitiska dialoga forma, kura tiek pielietota terapijas seansa ietvaros. Šāda pieeja ir efektīva psihotisko simptomu reducēšanā, sekmējot retākas un īsākas hospitalizācijas, mazākas antipsihotisko medikamentu devas, labākas iespējas atgūt funkcionēšanas un darba spējas (Seikkula et al. 2006).

Pastāv izteikta konverģence starp atvērto dialogu un uz atveseļošanos orientētiem principiem un praksi. Abas tehnikas atveseļošanās procesu uztver kā īstu atjaunošanās un elastīgas pieejas procesu, kas ir balstīts uz cerībām, paša spēju stiprināšanu un atbalstošu sadarbības tīklu. Atvērts dialogs izveido starp profesionāļiem un cilvēkiem, ar kuriem viņi strādā, demokrātiskas attiecības, lai atjaunotu produktīvu un jēgpilnu dzīvi. Gan atveseļošanas iespējas, gan atvērts dialogs tiek papildināti ar zināšanām, ka cilvēki ar psihiskās veselības un atkarību problēmām var būt un ir nozīmīgi sabiedrības locekļi.

Pētījuma infrastruktūras attīstības projekts:

Atvērta dialoga iniciatīvas ietvaros, kas tika uzsākta 2012. gada septembrī ar fonda “Par izcilību psihiskajā veselības aprūpē” atbalstu, MUMS/Somijas atvērta dialoga iniciatīva izstrādās praktiskas rekomendācijas klīnicistiem, programmu vadītājiem un pētniekiem ASV, kā arī citur pasaulē, kur turpmāk cer pētīt atvērta dialoga pieeju.

Sadarbojoties tiks sagatavoti vairāki materiāli, kas palīdzēs adaptēt atvērta dialoga modeli, tajā skaitā:

1. Uz psihoterapiju orientēta rokasgrāmata un precīzs klīnikā izmantojams rīks mijiedarbībai ar personu un ģimenēm

2. Uz sistēmu orientēta rokasgrāmata un precīzs rīks, lai novērtētu programmas/ organizatorisko darbu ieviešanu.

Atbilstošās saites:

Video – Dr. Christopher Gordon and Brenda Miele Soares, MSW give an Open Dialogue presentation entitled: New approaches to mental health services
Video – Dr. Jaakko Seikkula runā par atvērtu dialogu 
Madness Radio: Open Dialogue for Psychosis w/ Mary Olson 
Institute for Dialogic Practice, Haydenville, MA 
Open Dialogical Practices 
National Empowerment Center - Dialogical Recovery from Monological Medicine

Atbilstošās atsauces:

Aaltonen, J., Seikkula, J., & Lehtinen, K. (2011). Comprehensive open-dialogue approach I: Developing a comprehensive culture of need-adapted approach in a psychiatric public health catchment area the Western Lapland Project. Psychosis, 3, 179 – 191.

Olson, M, Seikkula, J. & Ziedonis, D. (2014). The key elements of dialogic practice in Open Dialogue. The University of Massachusetts Medical School. Worcester, MA.

Seikkula, J., Aaltonen, J., Alakare, B., & Haarakangas, K. (2006). Five-year experience of first-episode nonaffective psychosis in open-dialogue model. Psychotherapy Research, 16(2), 214-228.

Seikkula, J., Alakare, B., & Aaltonen, J. (2011). The comprehensive open-dialogue approach(II). Long-term stability of acute psychosis outcomes in advanced community care: The Western Lapland Project. Psychosis, 3, 1–13.

Seikkula, J. & Olson, M. (2003). The open dialogue approach: Its poetics and micropolitics. Family Process, 42, 403-418.

UCSD Project Team Leadership and Contact: 
Douglas Ziedonis, MD, MPH,
Principal Investigator - dziedonis@ucsd.edu

USA Collaborators / Partners:
Ippolytos Kalofonos, MD, PhD, MPH
Christopher Gordon, MD
Eileen Small, MSW
Robert Cotes, MD
Keith Wood, PhD
Daniel Fisher, MD, PhD
Daniel Breslin, MD
Kathleen Biebel, PhD
Zlatina Kostova, PhD
Celine Larkin, PhD
International Open Dialogue Colleagues
China
Yanli Luo, MD

Denmark
Bjarne Vind Sorensen, PhD

Italy
Raffaella Pocobello, PhD
Giuseppe Salamina, MD

Japan

Yasuhiko Murakami, PhD
Yukako Shinozuka, MA

Latvia
Liena Grauda, MD
Elmars Rancans, MD, PhD
Maris Taube MD, PhD

Lithuania
Ramune Mazaliauskiene, MD
Vesta Steibliene, PhD

Poland
Regina Bisikiewicz
Michal Klapcinski

United Kingdom
Mark Steven Hopfenbeck, PhD
Russell Razzaque, MD
Stephen Pilling, PhD