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Finland in Boston? Applying Open Dialogue Ideals on a Psychotic Disorders Inpatient Teaching Unit
Kayla Rosen1, Joseph Stoklosa1
1Dr. Rosen is with the Santa Barbara County Department of Behavioral Wellness and the Student Health Services, University of California, Santa Barbara (e-mail: kaylayrosen@gmail.com ). She was former chief resident in the Schizophrenia and Bipolar Disorders Unit, McLean Hospital, Belmont Massachusetts, where Dr. Stoklosa is affiliated. Marcela Horvitz-Lennon, M.D., M.P.H., is editor of this column.
Abstract:
This column argues for the importance of patient-centered approaches in psychiatry and describes the development and pilot implementation, inspired by the Finnish Open Dialogue model, of a program designed to increase the "patient-centeredness" of an inpatient psychotic disorders unit at McLean Hospital. Preliminary evidence shows that an inpatient psychiatry unit can implement patient-centered changes that are acceptable to staff and patients without additional cost or time.
