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Qualitative and Quantitative Validation of Tools with Rating Scales Aimed at Assessing the Quality of University Service-Learning
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Open dialogue in the UK: qualitative study.

Rachel H Tribe1, Abigail M Freeman1, Steven Livingstone2

  • 1Trainee Clinical Psychologist, Research Department of Clinical, Educational and Health Psychology, University College London, UK.

Bjpsych Open
|June 14, 2019
PubMed
Summary
This summary is machine-generated.

Open dialogue in UK mental health services offers therapeutic benefits but presents challenges. Experiences were mixed, with clinicians finding it preferred yet demanding, while service users reported feeling heard but sometimes overwhelmed.

Keywords:
Open dialoguepsychosisqualitative researchschizophreniathematic analysis

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Area of Science:

  • Mental Health Services Research
  • Psychotherapy Implementation
  • Qualitative Healthcare Studies

Background:

  • Open dialogue is an integrated approach for organizing specialist mental health services and therapeutic meetings.
  • This study examines the implementation of a modified open dialogue approach in a UK mental health setting.

Purpose of the Study:

  • To explore service users' and clinicians' experiences with network meetings during the implementation of open dialogue.
  • To understand the perceived benefits and challenges of this therapeutic approach from both provider and recipient perspectives.

Main Methods:

  • A qualitative study involving 19 participants (8 service users, 11 clinicians).
  • Inductive thematic analysis was used to analyze interview data.

Main Results:

  • Four themes emerged: delivery, impact of principles, intense interactions/communication, and organizational challenges.
  • Clinicians viewed open dialogue as preferred but challenging; service users' experiences were mixed, with most feeling heard but some finding it distressing.
  • Both groups described network meetings as emotionally expressive, sometimes overwhelmingly so, with clinicians reporting authentic self-expression.

Conclusions:

  • Further investigation into service user and clinician experiences with open dialogue is warranted.
  • The intensity of interactions requires careful consideration before consent, and implementation needs monitoring for adherence to principles.