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Peer work in Open Dialogue: A discussion paper.

Brett Bellingham1, Niels Buus2,3,4,5, Andrea McCloughen2

  • 1Nepean Blue Mountains Local Health District, Sydney, New South Wales, Australia.

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Summary

Open Dialogue, a Finnish mental health approach, is adapting to include peer workers. This paper explores the benefits and challenges of integrating peer support into Open Dialogue models in Australia.

Keywords:
capacity buildingdelivery of health carehealth personnelmental health servicesstakeholder participation

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Area of Science:

  • Mental Health Care
  • Psychiatry
  • Healthcare Adaptation

Background:

  • Open Dialogue is a Finnish resource-oriented mental health care approach.
  • International adoption has led to adaptations, including the integration of paid peer work.
  • Peer work utilizes lived experience to build supportive relationships with service users.

Purpose of the Study:

  • To examine current debates and ideas regarding peer work within the Open Dialogue model.
  • To explore potential benefits and challenges of incorporating peer workers into Open Dialogue.
  • To discuss the feasibility of peer work and lived experience practitioners in Australian mental health services.

Main Methods:

  • Discussion paper synthesizing existing ideas and literature.
  • Examination of examples and models of peer work in Open Dialogue.
  • Analysis of potential impacts on clinical hierarchies and service user relationships.

Main Results:

  • Peer work in Open Dialogue may foster democracy and challenge clinical hierarchies.
  • There's a risk of shifting peer support from reciprocal to a 'giver-receiver' dynamic.
  • The integration of peer roles faces uncertainty due to existing healthcare structures and funding models.

Conclusions:

  • Peer work integration into Open Dialogue presents both opportunities and challenges.
  • Potential exists to enhance democratic principles and disrupt traditional hierarchies.
  • Healthcare system structures and funding models require consideration for sustainable peer integration.